Provider Demographics
NPI:1992914923
Name:MEDICAL RESOURCE GROUP, INC.
Entity type:Organization
Organization Name:MEDICAL RESOURCE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PANSTARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-250-0424
Mailing Address - Street 1:26016 DETROIT RD STE 5
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2453
Mailing Address - Country:US
Mailing Address - Phone:440-250-0424
Mailing Address - Fax:440-250-0429
Practice Address - Street 1:26016 DETROIT RD STE 5
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2453
Practice Address - Country:US
Practice Address - Phone:440-250-0424
Practice Address - Fax:440-250-0429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty