Organization
EAST SIDE IMAGING, LLC
Active
Other names
RAYUS RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT C. VAN KIRK (PRESIDENT AND CEO)
(330) 653-3968
Entity
Organization
Contact information
Practice address
3702 S STATE ST STE 111, SOUTH SALT LAKE, UT 84115-5078
(801) 288-9671
(801) 288-9583
Mailing address
PO BOX 645846, CINCINNATI, OH 45264-5846
(866) 674-7933
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
08/11/2021
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