Provider Demographics
NPI:1063468460
Name:NORTH COAST IMAGING, LLC
Entity Type:Organization
Organization Name:NORTH COAST IMAGING, LLC
Other - Org Name:NCIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RALOFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-483-9000
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:OH
Mailing Address - Zip Code:44811-0570
Mailing Address - Country:US
Mailing Address - Phone:419-334-3008
Mailing Address - Fax:
Practice Address - Street 1:1303 W STATE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2016
Practice Address - Country:US
Practice Address - Phone:419-334-3008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)