Organization
OHIO IMAGING LLC
Active
Organization
OHIO IMAGING LLC
Active
Other names
University Center Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA JO MYERS (ADMINISTRATOR)
(740) 223-3456
Entity
Organization
Contact information
Practice address
1065 DELAWARE AVE, MARION, OH 43302
(740) 223-3456
(740) 223-3456
Mailing address
1065 DELAWARE AVE, MARION, OH 43302
(740) 223-3456
(740) 223-3457
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0646IL
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000173737
ANTHEM BC/BS
OH
01
—
000000384241
ANTHEM
OH
01
—
1601432
UNITED HEALTHCARE
OH
05
—
2213198
—
OH
01
—
470000972
RAILROAD MEDICARE
OH
01
—
7753161
AETNA
OH
01
—
954458478006
MEDICAL MUTUAL
OH
Enumeration date
07/13/2005
Last updated
06/20/2008
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