Organization
BIG RUN IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA K EVANS (VP AMB SVCS,IMAGING BOARD PRESIDENT)
(614) 546-4303
Entity
Organization
Contact information
Practice address
4300 CLIME RD, COLUMBUS, OH 43228-6491
(614) 279-4925
(614) 279-4958
Mailing address
4300 CLIME RD, COLUMBUS, OH 43228-6491
(614) 279-4925
(614) 279-4958
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
0453IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098500
—
OH
Enumeration date
07/05/2006
Last updated
08/01/2007
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