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Organization

AMERICAN QUALITY IMAGING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAT SCHUMAN CPCS (CREDENTIALING SPECIALIST)
(304) 929-6930
Entity
Organization

Contact information

Practice address
2401 S KANAWHA ST, SUITE109, BECKLEY, WV 25801-6967
(304) 256-8300
(304) 256-8300
Mailing address
2401 S KANAWHA ST, SUITE109, BECKLEY, WV 25801-6967
(304) 256-8300
(304) 256-8300

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
3400
WV
261QR0208X
Mobile Radiology Clinic/Center
3400
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5198071
MEDICARE PTAN
WV
05
680100300
WV
Enumeration date
02/25/2007
Last updated
11/06/2017
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