Provider Demographics
NPI:1982916573
Name:STEEL VALLEY DIVERSIFIED, INC
Entity Type:Organization
Organization Name:STEEL VALLEY DIVERSIFIED, INC
Other - Org Name:STEEL VALLEY PORTABLE X-RAY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHERMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-745-5771
Mailing Address - Street 1:5136 TUSCARAWAS ST W
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-5016
Mailing Address - Country:US
Mailing Address - Phone:888-745-5771
Mailing Address - Fax:330-479-1933
Practice Address - Street 1:5136 TUSCARAWAS ST W
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-5016
Practice Address - Country:US
Practice Address - Phone:888-745-5771
Practice Address - Fax:330-479-1933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile