Organization · Type 2 NPI

Clinic Medical Services Company

Diagnostic Radiology Physician · Columbus, OH

NPI number 1508024209 Active

Practice location

1550 Kenny Rd
Columbus, OH 43212-2564

Call (614) 424-9100 Map

Fax (614) 424-9112

Mailing address

6100 W Creek Rd, Suite 35
Independence, OH 44131-2133

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	1108IC (OH)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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NPI record

NPI: 1508024209
Entity type: Organization (Type 2)
Issued: May 29, 2008
Last updated: May 29, 2008
Status: Active
Subpart: Yes of Cleveland Clinic Foundation

Other names

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Cleveland Clinic Star Imaging · doing business as

Authorized official

Ms. Diane Marie Maiorana
Managed Care Manager
(216) 642-8165

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508024209

Clinic Medical Services Company's National Provider Identifier is 1508024209, issued on May 29, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Columbus, OH. The record was last updated on May 29, 2008.