Provider Demographics
NPI:1598765182
Name:VALLEY RADIOLOGISTS INC
Entity type:Organization
Organization Name:VALLEY RADIOLOGISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRIZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-234-0123
Mailing Address - Street 1:PO BOX 6825
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0663
Mailing Address - Country:US
Mailing Address - Phone:866-684-1493
Mailing Address - Fax:
Practice Address - Street 1:2000 EOFF ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3823
Practice Address - Country:US
Practice Address - Phone:304-234-0123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2542565Medicaid
OH2542056Medicaid
OH2542556Medicaid
WV0007059000Medicaid
OH2542538Medicaid
OH000000023696OtherBC/BS PIN NUMBER
OH2542547Medicaid
OH2542583Medicaid
OH2542592Medicaid
OH2542529Medicaid
OH2542574Medicaid
OH2542556Medicaid
OH2542592Medicaid
OH2542547Medicaid