Provider Demographics
NPI:1215136163
Name:PRECISION RADIOLOGY INC.
Entity type:Organization
Organization Name:PRECISION RADIOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AUTHORIZED SIGNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-626-3846
Mailing Address - Street 1:10567 SAWMILL PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-6667
Mailing Address - Country:US
Mailing Address - Phone:866-439-9184
Mailing Address - Fax:614-764-9147
Practice Address - Street 1:1101 DECATUR STREET
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3335
Practice Address - Country:US
Practice Address - Phone:419-557-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty