Organization
NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Active
Other names
NOMS Imaging Medina, NOMS Allegiance Imaging Medina
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA FREDERICK (CEO)
(419) 626-6161
Entity
Organization
Contact information
Practice address
3443 MEDINA RD STE 103, MEDINA, OH 44256-5965
(330) 723-6600
(330) 725-6671
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2253556
—
OH
Enumeration date
05/08/2020
Last updated
06/18/2020
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