Provider Demographics
NPI:1285687798
Name:SPIRAL CT AND IMAGING OF STEUBENVILLE
Entity Type:Organization
Organization Name:SPIRAL CT AND IMAGING OF STEUBENVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-266-7674
Mailing Address - Street 1:2315 SUNSET BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2496
Mailing Address - Country:US
Mailing Address - Phone:740-346-7226
Mailing Address - Fax:740-346-0026
Practice Address - Street 1:2315 SUNSET BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2496
Practice Address - Country:US
Practice Address - Phone:740-346-7226
Practice Address - Fax:740-346-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08031C174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2306847Medicaid
OH2306847Medicaid
OH2306847Medicaid