JACRIC NPI 1366874414

NPI Information

JACRIC is a vascular and interventional radiology radiology in Boardman, OH. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. JACRIC NPI is 1366874414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Vein Center And Medspa.

The provider's business location address is:

965 WINDHAM CT
SUITE 2
BOARDMAN, OH
ZIP 44512-088
Phone: (330) 629-9400
Fax: (330) 629-9441

The provider's authorized official is Richard J. Loges .
The authorized official title is Partner and has the following contact phone number (330) 629-9400.

The enumeration date for this NPI number is 7/31/2013 and was last updated on 9/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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