Basic Information
| Provider Information | |||||||||
| NPI: | 1215136163 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PRECISION RADIOLOGY INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10567 SAWMILL PKWY | ||||||||
| Address2: | STE 100 | ||||||||
| City: | POWELL | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430656667 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8664399184 | ||||||||
| FaxNumber: | 6147649147 | ||||||||
| Practice Location | |||||||||
| Address1: | 1101 DECATUR STREET | ||||||||
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| City: | SANDUSKY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448703335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4195577400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2007 | ||||||||
| LastUpdateDate: | 01/14/2016 | ||||||||
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| AuthorizedOfficialLastName: | SHEEHAN | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/AUTHORIZED SIGNER | ||||||||
| AuthorizedOfficialTelephone: | 4196263846 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.