Organization
MANSFIELD IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COX (BUSINESS MANAGER)
(419) 522-3400
Entity
Organization
Contact information
Practice address
536 S TRIMBLE RD, SUITE A, MANSFIELD, OH 44906-3418
(419) 774-9729
(419) 774-0006
Mailing address
536 S TRIMBLE RD, SUITE A, MANSFIELD, OH 44906-3418
(419) 774-9729
(419) 774-0006
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2500494
—
OH
01
—
P00070031
RR MEDICARE
OH
Enumeration date
01/19/2007
Last updated
04/24/2008
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