Provider Demographics
NPI:1821019951
Name:ACCURADIOLOGY, INC.
Entity Type:Organization
Organization Name:ACCURADIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-389-2297
Mailing Address - Street 1:PO BOX 855
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43301-0855
Mailing Address - Country:US
Mailing Address - Phone:740-382-4300
Mailing Address - Fax:740-382-4399
Practice Address - Street 1:1069 DELAWARE AVE.
Practice Address - Street 2:SUITE 105
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-1400
Practice Address - Country:US
Practice Address - Phone:740-382-4300
Practice Address - Fax:740-382-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2695123Medicaid
OH2695123Medicaid