Organization
WOODLAND DIAGNOSTIC IMAGING LLC
Active
Organization
WOODLAND DIAGNOSTIC IMAGING LLC
Active
Other names
Alliance Healthcare Radiology at Belden Village
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 300-2777
Entity
Organization
Contact information
Practice address
5005 WHIPPLE AVE NW, CANTON, OH 44718
(330) 493-6747
(330) 493-6947
Mailing address
18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
(800) 544-3215
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
1037IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000167494
ANTHEM BCBS
OH
01
—
100897
KAISER
OH
01
—
20028
MEDFOCUS RADIOLOGY
OH
05
—
2460699
—
OH
01
—
359986300
ACS/US DEPT OF LABOR
OH
05
—
47659-0001
—
OH
05
—
731339
—
OH
Enumeration date
08/04/2006
Last updated
07/24/2023
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