Organization
RADIOLOGY AND IMAGING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KORNICK MD (PRESIDENT/AUTHORIZED OFFICIAL)
(330) 674-7274
Entity
Organization
Contact information
Practice address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 996-2389
Mailing address
PO BOX 931286, CLEVELAND, OH 44193-1494
(888) 719-9012
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC3678
RAILROAD MC
OH
01
—
CF7408
RAILROAD MC
OH
01
—
CN1167
RAILROAD MC
OH
Enumeration date
08/25/2006
Last updated
11/14/2007
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