Provider Demographics
NPI:1427131812
Name:SPIRNAK RADIOLOGY SERVICES INC
Entity type:Organization
Organization Name:SPIRNAK RADIOLOGY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:SPIRNAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-930-6070
Mailing Address - Street 1:5319 HOAG DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1494
Mailing Address - Country:US
Mailing Address - Phone:440-930-6045
Mailing Address - Fax:440-930-6002
Practice Address - Street 1:5319 HOAG DR
Practice Address - Street 2:SUITE 130
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1494
Practice Address - Country:US
Practice Address - Phone:440-930-6045
Practice Address - Fax:440-930-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2154350Medicaid
OHC02555Medicare UPIN
OH2154350Medicaid