Organization
PREMIER IMAGING GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN E OSBORN D.O. (PRESIDENT)
(937) 398-0503
Entity
Organization
Contact information
Practice address
715 S TAFT AVE, FREMONT, OH 43420-3200
(419) 332-7321
Mailing address
PO BOX 1524, LIMA, OH 45802-1524
(419) 224-5707
(419) 229-0040
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178618
ANTHEM
OH
05
—
2201585
—
OH
Enumeration date
01/20/2006
Last updated
08/22/2020
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