Organization
HILLCREST RADIOLOGY ASSOCIATES, INC
Active
Organization
HILLCREST RADIOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A CHRISTIAN M.D. (M.D.)
(440) 312-4264
Entity
Organization
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4264
Mailing address
1413 GOLDEN GATE BLVD, SUITE 250, MAYFIELD HTS, OH 44124-3420
(440) 605-1560
(440) 605-1563
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
OH
2085R0202X
Diagnostic Radiology Physician
Primary
—
OH
2085R0204X
Vascular & Interventional Radiology Physician
—
OH
2085U0001X
Diagnostic Ultrasound Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028415
GROUP ANTHEM BC/BS #
OH
05
—
0798445
—
OH
01
—
CC0299
GROUP RAILROAD MEDICARE
OH
Enumeration date
07/01/2006
Last updated
04/20/2008
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