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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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