Provider Demographics
NPI:1871711648
Name:MARION RADIOLOGY CENTER, P.A.
Entity type:Organization
Organization Name:MARION RADIOLOGY CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:L
Authorized Official - Last Name:KATANICK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-237-4133
Mailing Address - Street 1:2627 SE 14TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4711
Mailing Address - Country:US
Mailing Address - Phone:352-237-4133
Mailing Address - Fax:
Practice Address - Street 1:2627 SE 14TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4711
Practice Address - Country:US
Practice Address - Phone:352-237-4133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS17332085D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Single Specialty