Organization
LIMA RADIOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NELSON MD (PRESIDENT)
(419) 226-4382
Entity
Organization
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-9023
(419) 866-5453
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4382
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075308
ANTHEM BCBS
OH
05
—
0117733
—
OH
01
—
027075600
FEDERAL BLACK LUNG PROG
—
01
—
127520500
DEPT OF LABOR--(FECA)
—
01
—
CA3389
RAILROAD MEDICARE
OH
Enumeration date
03/24/2006
Last updated
01/16/2025
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