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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