Organization
RADIOLOGY AND IMAGING SERVICES, INC
Active
Organization
RADIOLOGY AND IMAGING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KORNICK MD (AUTHORIZED OFFICIAL)
(330) 867-7274
Entity
Organization
Contact information
Practice address
400 WABASH AVE, AKRON, OH 44307-2433
(330) 384-6000
Mailing address
PO BOX 931286, CLEVELAND, OH 44193-1494
(888) 719-9012
(330) 493-7123
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000024853
ANTHEM
OH
05
—
0474606
—
OH
01
—
CC3678
RAILROAD MC
OH
01
—
CF7408
RAILROAD MC
OH
01
—
CN1167
RAILROAD MC
OH
Enumeration date
08/25/2006
Last updated
07/08/2008
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