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Organization

ADVANCED RADIOLOGY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF WILSON (PRESIDENT)
(330) 864-0600
Entity
Organization

Contact information

Practice address
3250 W MARKET ST, SUITE 101, FAIRLAWN, OH 44333-3336
(330) 864-0600
(330) 864-0799
Mailing address
3250 W MARKET ST, SUITE 101, FAIRLAWN, OH 44333-3336
(330) 864-0600
(330) 864-0799

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2139555
OH
Enumeration date
02/19/2007
Last updated
08/22/2020
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