Provider Demographics
NPI:1962678094
Name:SYNERGY IMAGING OF OHIO, LLC.
Entity Type:Organization
Organization Name:SYNERGY IMAGING OF OHIO, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RIECK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-210-4973
Mailing Address - Street 1:PO BOX 415000-007
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37241-0001
Mailing Address - Country:US
Mailing Address - Phone:615-210-4973
Mailing Address - Fax:
Practice Address - Street 1:8648 OLD TROY PIKE
Practice Address - Street 2:SUITE A
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-1069
Practice Address - Country:US
Practice Address - Phone:615-210-4973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty