Provider Demographics
NPI:1790301679
Name:MI CLINICS OF AMERICA
Entity Type:Organization
Organization Name:MI CLINICS OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER/CPA
Authorized Official - Prefix:
Authorized Official - First Name:MITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAR
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:513-275-5275
Mailing Address - Street 1:2950 GLENDALE MILFORD RD STE 520
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3131
Mailing Address - Country:US
Mailing Address - Phone:513-275-5275
Mailing Address - Fax:513-906-5275
Practice Address - Street 1:2950 GLENDALE MILFORD RD STE 520
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-3131
Practice Address - Country:US
Practice Address - Phone:513-275-5275
Practice Address - Fax:513-906-5275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty