Provider Demographics
NPI:1215170824
Name:VALUE ADDED IMAGING SERVICES, LLC
Entity type:Organization
Organization Name:VALUE ADDED IMAGING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:C
Authorized Official - Last Name:CORNELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:440-338-8959
Mailing Address - Street 1:5192 CHILLICOTHE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4196
Mailing Address - Country:US
Mailing Address - Phone:440-338-8959
Mailing Address - Fax:440-338-5652
Practice Address - Street 1:5192 CHILLICOTHE RD STE 102
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4196
Practice Address - Country:US
Practice Address - Phone:440-338-8959
Practice Address - Fax:440-338-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology