Organization
MRI COOPERATIVE
Active
Other names
Forum Health Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAUREEN M MCGUIRE CPC (OFFICE MANAGER)
(330) 884-2150
Entity
Organization
Contact information
Practice address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-3571
Mailing address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-2150
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000167975
ANTHEM
OH
05
—
0740032
—
OH
01
—
P00131578
RAILROAD MEDICARE
OH
Enumeration date
03/13/2007
Last updated
09/30/2008
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