Organization
MEDSCAN OPEN MRI OF MIDDLETOWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITA MORAR (ADMINISTRATOR)
(513) 422-7250
Entity
Organization
Contact information
Practice address
625 S BREIEL BLVD, MIDDLETOWN, OH 45044-5113
(513) 422-7250
(513) 422-1325
Mailing address
625 S BREIEL BLVD, MIDDLETOWN, OH 45044-5113
(513) 422-7250
(513) 422-1325
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2531219
—
OH
Enumeration date
07/26/2005
Last updated
08/22/2020
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