Organization
CRYSTAL CLEAR IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN E OSBORN D.O. (PRESIDENT)
(937) 398-0500
Entity
Organization
Contact information
Practice address
2100 EMMANUEL WAY, SPRINGFIELD, OH 45502-7217
(937) 398-0500
(937) 398-0370
Mailing address
PO BOX 951015, CLEVELAND, OH 44193-0005
(866) 917-3597
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232727
ANTHEM
OH
05
—
2364249
—
OH
Enumeration date
01/20/2006
Last updated
04/08/2008
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