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Active NPI 1366874414 Organization (Entity Type 2)

Jacric

Radiology - Vascular & Interventional Radiology • Boardman, OH

About Jacric NPI 1366874414 Summary

Jacric is a verified healthcare organization specializing in Radiology - Vascular & Interventional Radiology operating in Boardman, OH. Located at 965 WINDHAM CT, SUITE 2, this facility provides patient care and medical services under National Provider Identifier (NPI) 1366874414.

Administrative operations and authorized compliance are overseen by Richard Loges (Partner).

Facility Location & Contact Primary Location

Facility Address

965 Windham Ct
Suite 2

Boardman, OH 445125088

Telephone 3306299400

Fax 3306299441

Authorized Official Information

Authorized Contact Name

DR. Richard Loges , M.D.

Title / Role

Partner

Official Telephone

3306299400

Facility Classifications & Specialties

Radiology - Vascular & Interventional Radiology Primary Taxonomy

NUCC Taxonomy Code: 2085R0204X

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active September 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 04, 2013

Registered at 965 WINDHAM CT, SUITE 2, BOARDMAN, OH 445125088 (Tel: 3306299400)

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Updated Business Mailing Address September 04, 2013

Registered at 965 WINDHAM CT, SUITE 2, BOARDMAN, OH 445125088 (Tel: 3306299400)

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Organization / Clinic Name Updated September 04, 2013

Operating as JACRIC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Radiology (License #35.070443 in OH)

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Initial NPI Registration & Enumeration July 31, 2013

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1366874414

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 31, 2013

Last Update: September 04, 2013

Update or Correct Listing

Mailing Address

965 Windham Ct, Suite 2

Boardman, OH 445125088

Phone: 3306299400

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.