Provider Demographics
NPI:1588739247
Name:NETWORK IMAGING ASSOCIATES, LLC
Entity type:Organization
Organization Name:NETWORK IMAGING ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:PALEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-577-0776
Mailing Address - Street 1:29001 CEDAR RD
Mailing Address - Street 2:STE 100
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4062
Mailing Address - Country:US
Mailing Address - Phone:216-291-8480
Mailing Address - Fax:216-291-8490
Practice Address - Street 1:29001 CEDAR RD
Practice Address - Street 2:STE 100
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-4062
Practice Address - Country:US
Practice Address - Phone:216-291-8480
Practice Address - Fax:216-291-8490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-3994-P2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0173397Medicaid
OHID02601Medicare ID - Type UnspecifiedPROVIDER # WITH MEDICARE
OH0173397Medicaid