Provider Demographics
NPI:1194753640
Name:WORLD CLASS MEDICAL IMAGING
Entity type:Organization
Organization Name:WORLD CLASS MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:SZENAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-339-4800
Mailing Address - Street 1:1735 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-2301
Mailing Address - Country:US
Mailing Address - Phone:937-339-4800
Mailing Address - Fax:937-440-0974
Practice Address - Street 1:1735 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2301
Practice Address - Country:US
Practice Address - Phone:937-339-4800
Practice Address - Fax:937-440-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1231IC261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)