Organization
IDOX3 LLC
Active
Other names
Tri-State Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L STROHMEYER (SUPERVISOR)
(606) 324-2451
Entity
Organization
Contact information
Practice address
405 S 3RD ST, IRONTON, OH 45638-1730
(606) 324-2451
(606) 324-7123
Mailing address
2841 LEXINGTON AVE, ASHLAND, KY 41101-3009
(606) 324-2451
(606) 324-7123
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190768
—
OH
05
—
7100446470
—
KY
Enumeration date
08/04/2015
Last updated
07/23/2020
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