National Provider Identifier Database

HOCKING VALLEY IMAGING LLC
Magnetic Resonance Imaging (MRI)


Contact Information

HOCKING VALLEY IMAGING, LLC
31500 CHIEFTAIN DR
STE B
LOGAN, OH43138-8421
Phone: 740-380-6665
Fax: 740-380-6635
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for HOCKING VALLEY IMAGING, LLC

NPI Number 1548269103
Legal business name
LBN
HOCKING VALLEY IMAGING, LLC
Authorized official ROY BONTRAGER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/18/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 1071IC
  • OH Medicaid: 2435261

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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