Provider Demographics
NPI:1982671889
Name:RADIOLOGY ASSOCIATES, INC
Entity Type:Organization
Organization Name:RADIOLOGY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:L
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-243-3004
Mailing Address - Street 1:PO BOX 5307
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-5307
Mailing Address - Country:US
Mailing Address - Phone:866-497-8222
Mailing Address - Fax:419-223-2726
Practice Address - Street 1:1 MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6379
Practice Address - Country:US
Practice Address - Phone:304-243-3270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009921370002Medicaid
WV0011596000Medicaid
OH0537815Medicaid
PA0009921370005Medicaid
OH001709458OtherMT STATE BCBS
WV026914200OtherFEDERAL BLACK LUNG PROG
WVCD9506OtherRAILROAD MEDICARE
OHCD9505OtherRAILROAD MEDICARE
PA0009921370002Medicaid
PA0009921370005Medicaid
OH0537815Medicaid
PA0009921370005Medicaid
WVCD9506OtherRAILROAD MEDICARE