Organization
PREMIUM DIAGNOSTICS CENTER LLC
Active
Other names
Women's Diagnostic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI DLUGOSZ (MANAGER)
(440) 930-6020
Entity
Organization
Contact information
Practice address
5319 HOAG DR, SHEFFIELD VILLAGE, OH 44035-1494
(440) 930-6020
Mailing address
PO BOX 417, AVON, OH 44011-0417
(440) 930-6020
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154350
—
OH
Enumeration date
06/28/2010
Last updated
06/29/2010
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