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Reg #: 10B18165001 Facility Name: 910 Rapid Care LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3309650075

IRRP: George G Ellis Jr MD

Site Address: Last Routine Inspection Date: 05-19-2021 910 Boardman Canfield Rd

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10E05750001 Facility Name: Abco Medical Center LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2162262626

IRRP: Abdul M Orra DO

Site Address: Last Routine Inspection Date: 01-06-2021 13535 Detroit Ste 4

Lakewood OH 44107 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10C18191001 Facility Name: AccuDoc Inc PC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 8129323224

IRRP: Kenda Caplinger

Site Address: Last Routine Inspection Date: AccuDoc Urgent Care 04-25-2018 620 Ring Rd

Harrison OH 45030 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G17042001 Facility Name: Action Spine and Pain Center PC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3306661400

IRRP: Dhruv J Shah MD

Site Address: Last Routine Inspection Date: 06-06-2018 57 Baker Blvd

Akron OH 44333 Summit County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 1 1

Reg #: 10B20325001 Facility Name: Active Life Health of Columbus LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6145040740

IRRP: Patricia A Bonhorst DO

Site Address: Last Routine Inspection Date: John J Rush MD 03-03-2021 6325 Emerald Pkwy Ste 2B

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10J18562001 Facility Name: Acute Urgent Care Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4198684969

IRRP: -A-Lim MD

Site Address: Last Routine Inspection Date: 11-20-2018 5542 Airport Hwy

Toledo OH 43615 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K15760001 Facility Name: Adams County Cancer Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9373860000

IRRP: Prakash B Patel MD

Site Address: Last Routine Inspection Date: 01-22-2020 285 Medical Center Dr

Seaman OH 45679 Adams County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10M00324018 Facility Name: Adena Health System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7407797487

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Adena Occupation Health 08-07-2017 4457 St Rt 159

Chillicothe OH 45601 Ross County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H00324008 Facility Name: Adena Health System

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7407794021

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Adena Health Center - Western Ave 01-07-2020 55 Centennial Blvd

Chillicothe OH 45601 Ross County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3 Reg #: 10K00324015 Facility Name: Adena Health System

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7404203302

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Adena Family Care - Circleville 10-11-2019 140 Morris Rd

Circleville OH 43113 Pickaway County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M00324021 Facility Name: Adena Health System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: New Application Phone: 7404203152

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Circleville Urgent Care Radiology 166 Summit Ave

Circleville OH 43113 Pickaway County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B00324020 Facility Name: Adena Health System

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9373939955

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Adena Hillsboro Family Health 05-06-2020 160 Roberts Ln

Hillsboro OH 45133 Highland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L00324009 Facility Name: Adena Health System

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7403958050

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Adena Health Center - Jackson 11-27-2017 1000 Veterans Dr

Jackson OH 45640 Jackson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10K00324017 Facility Name: Adena Health System

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7407797251

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Adena Health Center - Piketon 02-03-2021 3930 US Route 23

Piketon OH 45661 Pike County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K00324016 Facility Name: Adena Health System

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7407797251

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Adena Health Center - Washington Court 10-11-2018 House 308 Highland Ave Ste C

Washington Court OH 43160 House Fayette County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D00324006 Facility Name: Adena Health System

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7407795166

IRRP: Luke Snodgrass

Site Address: Last Routine Inspection Date: Adena Regional Medical Center-Waverly 07-01-2020 Health Ctr 12340 St Rt 104

Waverly OH 45690 Pike County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10L19453001 Facility Name: Advanced Breast & Cosmetic Surgery Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9379498457

IRRP: Sunishka M Wimalawansa MD

Site Address: Last Routine Inspection Date: Advanced Plastic and Hand Surgery 05-30-2018 580 Lincoln Park Blvd Ste 255

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A16657001 Facility Name: Advanced Comprehensive Pain Management

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4409954500

IRRP: Sherif A Salama MD

Site Address: Last Routine Inspection Date: 04-27-2020 850 Brainard Rd

Highland Heights OH 44143 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10C16657002 Facility Name: Advanced Comprehensive Pain Management

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4409954500

IRRP: Sherif A Salama MD

Site Address: Last Routine Inspection Date: 02-22-2021 6789 Ridge Rd Ste 102

Parma OH 44129 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10F09430001 Facility Name: Advanced Neurologic Associates Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4194832403

IRRP: Stacy Mosher RT(R)

Site Address: Last Routine Inspection Date: 05-19-2021 5433 St Rt 113 E

Bellevue OH 44811 Huron County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10M18079001 Facility Name: Advanced Pain & Spine Institute LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5139363050

IRRP: Magdalena Kerschner MD

Site Address: Last Routine Inspection Date: 02-20-2020 9380 Montgomery Rd Ste 206

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10L17981001 Facility Name: Advanced Pain Management Institute

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3304932571

IRRP: Adel M Zakari MD

Site Address: Last Routine Inspection Date: 01-11-2020 4368 Dressler Rd NW Ste 201A

Canton OH 44718 Stark County

Tubes Tube Code Description Status Quantity E70 Tube Only Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 3

Reg #: 10B16039001 Facility Name: Advanced Spine & Pain Management Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5136247246

IRRP: Katie Aardema RT(R)

Site Address: Last Routine Inspection Date: 06-11-2021 7691 Five Mile Rd Ste 10

Cincinnati OH 45230 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10G16039002 Facility Name: Advanced Spine & Pain Management Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9376193600

IRRP: Katie Aardema RT(R)

Site Address: Last Routine Inspection Date: 03-04-2020 54 Remick Blvd

Springboro OH 45066 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2 Reg #: 10J17829001 Facility Name: Advanced Spine Joint and Wellness Center LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3307216504

IRRP: Matthew P Meehan DC

Site Address: Last Routine Inspection Date: 12-19-2019 5020 Victor Dr

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E08690001 Facility Name: Advanced Women's Care

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3309650909

IRRP: Antoine El-Hayek MD

Site Address: Last Routine Inspection Date: 05-05-2021 1111 Boardman Canfield Rd

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10C18930001 Facility Name: Advantage Care North America LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5134612273

IRRP: James S Chan MD

Site Address: Last Routine Inspection Date: Monroe Urgent Care 05-22-2020 262 N Main St

Monroe OH 45050 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G15527001 Facility Name: Advantage Imaging LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 2162929998

IRRP: Ronald Scala MS

Site Address: Last Routine Inspection Date: Advantage Diagnostics of Beachwood 08-12-2020 3733 Park East Dr Ste 100

Beachwood OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10K15527006 Facility Name: Advantage Imaging LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6145010500

IRRP: Margaret Zelch MD

Site Address: Last Routine Inspection Date: Advantage Diagnostics of Columbus - Broad 01-24-2019 6400 E Broad St Ste 100

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A15527007 Facility Name: Advantage Imaging LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6142200001

IRRP: Margaret Zelch MD

Site Address: Last Routine Inspection Date: Advantage Diagnostics of Columbus - High 07-16-2021 1430 S High St

Columbus OH 43207 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G15527008 Facility Name: Advantage Imaging LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6147217400

IRRP: Margaret Zelch MD

Site Address: Last Routine Inspection Date: 08-13-2019 1120 Polaris Pkwy Ste 105

Columbus OH 43240 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K15527004 Facility Name: Advantage Imaging LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4408439900

IRRP: Margaret Zelch MD

Site Address: Last Routine Inspection Date: Advantage Diagnostics of Parma 05-09-2019 6900 Ridge Rd @ Delivery Dr Ste 101

Parma OH 44129 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M11272001 Facility Name: Akron Community Health Resources Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3307245471

IRRP: Kristie Engler Lynaugh DDS

Site Address: Last Routine Inspection Date: AxessPointe Community Health 10-31-2019 Center/Akron 1400 S Arlington Ste 38

Akron OH 44306 Summit County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3 Reg #: 10E11272005 Facility Name: Akron Community Health Resources Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307852051

IRRP: Kristie Engler Lynaugh DDS

Site Address: Last Routine Inspection Date: AxessPointe Community Health 12-05-2019 Center/Barberton 390 Robinson Ave Ste E

Barberton OH 44203 Summit County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 1 D2 Panoral (only) Operating 1 2

Reg #: 10A11272004 Facility Name: Akron Community Health Resources Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3306731016

IRRP: Kristie Engler Lynaugh DDS

Site Address: Last Routine Inspection Date: AxessPointe Community Health Center/Kent 01-31-2019 1993 St Rt 59

Kent OH 44240 Portage County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3 Reg #: 10M01443032 Facility Name: Akron General Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3306654100

IRRP: Lacy Fultz

Site Address: Last Routine Inspection Date: AGMC Neuro/Spine & Spine/Pain 06-15-2021 762 S Cleveland Massillon Rd & 2603 W Market St

Akron OH 44333 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10E01443008 Facility Name: Akron General Medical Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3306658057

IRRP: Lacy Fultz

Site Address: Last Routine Inspection Date: AGMC Health & Wellness Center Montrose 08-12-2020 4125 Medina Rd

Akron OH 44333 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 11 Reg #: 10K01443041 Facility Name: Akron General Medical Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3303446081

IRRP: Lacy Fultz

Site Address: Last Routine Inspection Date: AGMC The Spine and Pain Institute Kent 10-21-2019 265 W Main St Ste 201

Kent OH 44240 Portage County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10L01443024 Facility Name: Akron General Medical Center

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3306867950

IRRP: Lacy Fultz

Site Address: Last Routine Inspection Date: Akron General Orthopedics 09-17-2020 43 S Main St Ste 2

Munroe Falls OH 44262 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E01443009 Facility Name: Akron General Medical Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3309453103

IRRP: Lacy Fultz

Site Address: Last Routine Inspection Date: AGMC Health Center - Stow 08-04-2020 4300 & 4302 Allen Rd Ste 410

Stow OH 44224 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 4 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Operating 1 9

Reg #: 10F01443011 Facility Name: Akron General Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3306303142

IRRP: Lacy Fultz

Site Address: Last Routine Inspection Date: AGMC Health & Wellness Center 09-17-2020 Community Tallmadge 33 North Ave Ste 102 & 202

Tallmadge OH 44278 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 3 Reg #: 10L01443029 Facility Name: Akron General Medical Center

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3308969812

IRRP: Lacy Fultz

Site Address: Last Routine Inspection Date: AGMC Health & Wellness Green & 08-08-2018 Spine/Pain 1940 & 1946 Town Park Blvd

Uniontown OH 44685 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 4 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Operating 1 10

Reg #: 10K19347001 Facility Name: All Seasons Medical Clinic Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6148789444

IRRP: Nader G Javan MD

Site Address: Last Routine Inspection Date: 06-17-2021 699 Harrisburg Pike Ste A

Columbus OH 43223 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K19347002 Facility Name: All Seasons Medical Clinic Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6148789444

IRRP: Nader G Javan MD

Site Address: Last Routine Inspection Date: 04-11-2018 50 Old Village Rd Ste 109

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K16639002 Facility Name: Alliance Community Medical Foundation LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3305966500

IRRP: Tracy Sinn

Site Address: Last Routine Inspection Date: 08-28-2018 1900 S Union Ave Ste 100

Alliance OH 44601 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 2

Reg #: 10C16639003 Facility Name: Alliance Community Medical Foundation LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3308210201

IRRP: Tracy Sinn

Site Address: Last Routine Inspection Date: ACMF Orthopedics Carnation Clinic 06-16-2020 1401 Arch Ave

Alliance OH 44601 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G03651028 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 9374245824

IRRP: Ashley Glascock RT(R)

Site Address: Last Routine Inspection Date: KPN Orthopedics 2587 Commons Blvd Ste 110

Beavercreek OH 45431 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L03651024 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9373958818

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: KPN Beaver View Health Center 07-09-2020 3095 Dayton Xenia Rd Ste 100

Beavercreek OH 45434 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M03651007 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9374335309

IRRP: Renee Kinnison RT(R)

Site Address: Last Routine Inspection Date: Far Oaks Orthopedics Inc - Centerville 09-20-2018 6438 Wilmington Pike Ste 220

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E03651018 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 9374254000

IRRP: Megan Stewart RT(R)

Site Address: Last Routine Inspection Date: KPN Primary Care Centerville Yrs Ahead 10-08-2019 Health Ctr 6661 Clyo Rd

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J03651023 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9373958527

IRRP: April Fiedler RT(R)

Site Address: Last Routine Inspection Date: KHN On-Demand Care Centerville 02-27-2020 101 E Alex Bell Rd Ste 190

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J03651022 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9374254030

IRRP: Melinda Ash RT(R)

Site Address: Last Routine Inspection Date: KHN On-Demand Care Washington 02-11-2020 Township 1028 Miamisburg-Centerville Rd

Dayton OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G03651029 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 9378363118

IRRP: Ashley Glascock RT(R)

Site Address: Last Routine Inspection Date: KPN Orthopedics 8805 N Main St

Dayton OH 45415 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E03651012 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 9377468357

IRRP: Lisa Raymundo RT(R)

Site Address: Last Routine Inspection Date: Franklin Medical Group 01-13-2020 909 E Second St

Franklin OH 45005 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C03651010 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5132616540

IRRP: Michele Wise

Site Address: Last Routine Inspection Date: KPN Orthopedics & Sports Medicine - 02-14-2019 Midwest 6645 Morris Rd

Hamilton OH 45011 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H03651015 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 5135634426

IRRP: Michele Wise

Site Address: Last Routine Inspection Date: KPN Orthopedics & Sports Medicine - 01-17-2019 Siaron 3515 Siaron Way

Hamilton OH 45011 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J03651017 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5138675770

IRRP: Michele Wise

Site Address: Last Routine Inspection Date: KPN Orthopedics & Sports Medicine - 01-15-2019 Hamilton 840 NW Washington Blvd Ste A

Hamilton OH 45013 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E03651020 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5138963000

IRRP: Amanda Clark RT(R)

Site Address: Last Routine Inspection Date: Hamilton Health Center on Main 11-07-2019 1391 Main St

Hamilton OH 45011 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M03651009 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9374335309

IRRP: Renee Kinnison RT(R)

Site Address: Last Routine Inspection Date: Far Oaks Orthopedics Inc - Kettering 08-15-2019 3737 Southern Blvd Ste 2100

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E03651019 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 9376439299

IRRP: Tracie Apanasewicz RT(R)

Site Address: Last Routine Inspection Date: Kettering Brain and Spine 06-21-2019 3700 Southern Blvd Ste 300

Kettering OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F03651026 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 9373958818

IRRP: Chris Mitchell MBA RT(N)

Site Address: Last Routine Inspection Date: KHN On-Demand Care Town & Country 424 E Stroop Rd Ste D

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F03651027 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 9373958818

IRRP: Chris Mitchell MBA RT(N)

Site Address: Last Routine Inspection Date: KPN Kettering Years Ahead Health Center 1745 E Stroop Rd

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F03651003 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9378662494

IRRP: Dezerah Boyle RT(R)

Site Address: Last Routine Inspection Date: Miamisburg Family Practice 04-19-2018 415 Byers Rd Ste 300

Miamisburg OH 45342 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10M03651006 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9378659000

IRRP: Leah Schramm RT(R)

Site Address: Last Routine Inspection Date: 09-24-2018 4000 Miamisburg Centerville Rd Ste 110

Miamisburg OH 45342 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M03651008 Facility Name: Alliance Physicians Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9374335309

IRRP: Renee Kinnison RT(R)

Site Address: Last Routine Inspection Date: Far Oaks Orthopedics Inc - Miamisburg 09-24-2018 4000 Miamisburg Centerville Rd Ste 230

Miamisburg OH 45342 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A17394001 Facility Name: AMRO LLC

Type: Clinic Expiration Date: 07-31-2020 Facility Status: Active Registrant Phone: 6147511500

IRRP: Khaled L Amr MD

Site Address: Last Routine Inspection Date: Columbus Pain Specialists 07-26-2016 4466 Morse Rd

Columbus OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10D18283001 Facility Name: Anesthesia & Pain Management LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant that has moved Phone: 9372804970

IRRP: Abdul Q Shahid MD

Site Address: Last Routine Inspection Date: Pain & Spine Center 03-15-2021 2619 Commons Blvd

Beavercreek OH 45438 Greene County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10G20623001 Facility Name: APEX Clinicare LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 5133107727

IRRP: Alex Hobbs

Site Address: Last Routine Inspection Date: APEX Clinicare Urgent Care & Wellness 8148 Princeton Glendale Rd

West Chester OH 45069 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M17091002 Facility Name: Arlington Urgent Care Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6148269266

IRRP: Michael J Rankin MD

Site Address: Last Routine Inspection Date: Bexley Urgent Care 10-23-2019 2216 E Main St

Bexley OH 43209 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H17091001 Facility Name: Arlington Urgent Care Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6144841940

IRRP: Michael J Rankin MD

Site Address: Last Routine Inspection Date: 02-25-2021 3062 Kingsdale Ctr

Columbus OH 43221 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B17091003 Facility Name: Arlington Urgent Care Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6145160184

IRRP: Michael J Rankin MD

Site Address: Last Routine Inspection Date: Worthington Urgent Care 05-05-2020 2245 W Dublin Granville Rd Ste 101

Worthington OH 43235 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C15234001 Facility Name: Arthritis & Osteoporosis Center of SW Ohio

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9378865510

IRRP: Anessa Alappatt MD

Site Address: Last Routine Inspection Date: 03-01-2018 60 Remick Blvd

Springboro OH 45066 Butler County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10M19474001 Facility Name: Artisan Surgery Center

Type: Clinic Expiration Date: 05-31-2020 Facility Status: Active Registrant Phone: 4198412303

IRRP: Manish R Gupta MD

Site Address: Last Routine Inspection Date: 08-08-2018 7634 W Central Ave

Toledo OH 43617 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10A11341001 Facility Name: Ashis K Rakhit MD Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4405725578

IRRP: Ashis K Rakhit MD

Site Address: Last Routine Inspection Date: 07-09-2019 10850 Pearl Rd Ste D2

Strongsville OH 44136 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1

Reg #: 10D04156006 Facility Name: Ashland Hospital Corporation

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7405340021

IRRP: Mayola Boykin MD

Site Address: Last Routine Inspection Date: Kings Daughters Medical Center 12-10-2019 912 Park Ave

Ironton OH 45638 Lawrence County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10K04156008 Facility Name: Ashland Hospital Corporation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7402887681

IRRP: Mayola Boykin MD

Site Address: Last Routine Inspection Date: Kings Daughters Medical Center 04-22-2019 14395 St Rt 93

Jackson OH 45640-0978 Jackson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M04156009 Facility Name: Ashland Hospital Corporation

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7403510980

IRRP: Mayola Boykin MD

Site Address: Last Routine Inspection Date: Kings Daughters Medical Center 03-20-2020 1729 Kinney's Ln Ste 102

Portsmouth OH 45662 Scioto County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D04156003 Facility Name: Ashland Hospital Corporation

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7408942080

IRRP: Mayola Boykin MD

Site Address: Last Routine Inspection Date: Kings Daughters Medical Center 01-27-2021 384 County Road 120 S

South Point OH 45680 Lawrence County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F04156001 Facility Name: Ashland Hospital Corporation

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 7405749301

IRRP: Mayola Boykin MD

Site Address: Last Routine Inspection Date: Kings Daughters Medical Center 09-25-2017 8750 Ohio River Rd

Wheelersburg OH 45694 Scioto County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L05240008 Facility Name: Ashtabula County Medical Center

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4409976692

IRRP: Thomas Jones MD

Site Address: Last Routine Inspection Date: Conneaut Family Health Center 12-21-2020 354 W Main St

Conneaut OH 44030 Ashtabula County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B05240009 Facility Name: Ashtabula County Medical Center

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4405768933

IRRP: Thomas Jones MD

Site Address: Last Routine Inspection Date: Jefferson Family Health Center 08-06-2018 234 N Chestnut St

Jefferson OH 44047 Ashtabula County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D06145001 Facility Name: Associates in Orthopaedics Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2166919000

IRRP: Audley M Mackel III MD

Site Address: Last Routine Inspection Date: 09-04-2019 5 Severance Cir Ste 609

Cleveland Heights OH 44118 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M3 Bone Densitometry Non-Operating 1 2 Reg #: 10J17129001 Facility Name: Associates in Womens Health Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5137941500

IRRP: Ellen W Feld MD

Site Address: Last Routine Inspection Date: 04-25-2018 8231 Cornell Rd Ste 320

Cincinnati OH 45249 Hamilton County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10A07474001 Facility Name: Athens Surgery Center Ltd

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 7405664504

IRRP: Tari McCulloch

Site Address: Last Routine Inspection Date: 11-20-2019 75 Hospital Dr Ste 100

Athens OH 45701 Athens County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10G00416029 Facility Name: Atrium Medical Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 9373713806

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: Union Village Medical Imaging 580 N St Rt 741

Lebanon OH 45036 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D00416028 Facility Name: Atrium Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5134205699

IRRP: Ravi Cherukuri MD

Site Address: Last Routine Inspection Date: Atrium Health Center- Mason 07-26-2018 7450 Mason-Montgomery Rd Ste 100 & 207

Mason OH 45040 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M4 C.T. (Computerized Tomography) Non-Operating 2 4

Reg #: 10A00416026 Facility Name: Atrium Medical Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5134250930

IRRP: Ravi Cherukuri MD

Site Address: Last Routine Inspection Date: Southwest Ohio Surgery Center 06-02-2021 295 N Briel Blvd

Middletown OH 45042 Butler County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M2 Radiographic Mobile Operating 1 2

Reg #: 10B00416027 Facility Name: Atrium Medical Center

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5138694620

IRRP: Ravi Cherukuri MD

Site Address: Last Routine Inspection Date: Atrium Health Center -Trenton 03-24-2021 3590 Busenbark Rd

Trenton OH 45067 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F01151001 Facility Name: Atrium OB/GYN Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3306494219

IRRP: Michelle Kelleher RT(R)(M)

Site Address: Last Routine Inspection Date: 12-27-2019 4151 Holiday St NW

Canton OH 44718 Stark County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2

Reg #: 10M00397021 Facility Name: Aultman Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3304919675

IRRP: Pam Tolin RT(R)

Site Address: Last Routine Inspection Date: Aultman Hospital - AultWorks 12-23-2020 4650 Hills and Dales NW 2nd Flr

Canton OH 44708 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D00397015 Facility Name: Aultman Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3306270091

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: Aultman-Carrollton Health Center 09-11-2019 1020 Trump Rd

Carrollton OH 44615 Carroll County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2 Reg #: 10C00397027 Facility Name: Aultman Hospital

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3308756050

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: Aultman Now Louisville Urgent Care 02-01-2021 506 W Main St

Louisville OH 44641 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E00397016 Facility Name: Aultman Hospital

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3308344154

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: Aultman Center for Pain Management 10-01-2019 2051 Wales Ave NW

Massillon OH 44646 Stark County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10K00397019 Facility Name: Aultman Hospital

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3308341111

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: Aultman Massillon 02-10-2021 2021 & 2606 Wales Rd NE

Massillon OH 44646 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 1 7 Reg #: 10A00397026 Facility Name: Aultman Hospital

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3303638680

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: AultmanNow Urgent Care Washington 11-09-2020 Square 2203 E Maple St

North Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K00397018 Facility Name: Aultman Hospital

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3303056999

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: Aultman Ambulatory Services Inc 07-01-2021 6100 Whipple Ave

North Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6 Reg #: 10M09163006 Facility Name: Aultman North Canton Medical Group

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3304331408

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 03-05-2020 6046 Whipple Ave NW

North Canton OH 44720 7690 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10H20671001 Facility Name: Aultman Now Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: New Application Phone: 3303638567

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date:

7066 Fulton Rd NW

Canton OH 44060 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F18385001 Facility Name: Avon Mediclinic LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4403660455

IRRP: Sanrae Onyeneke

Site Address: Last Routine Inspection Date: 08-06-2018 1260 Abbe Rd N

Elyria OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F00198004 Facility Name: Barnesville Hospital Association Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 7407821031

IRRP: Sam Nardo RT(R)

Site Address: Last Routine Inspection Date: Morristown Clinic 08-16-2021 66840 Belmont Morristown Rd

Belmont OH 43718 Belmont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D00665005 Facility Name: Bay Park Community Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4196907862

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Diagnostics Center - Rossford 12-07-2020 1215 Grassy Ln

Rossford OH 43460 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10A16888004 Facility Name: BCH Acquisition LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4195625281

IRRP: Dennis J Gottfried

Site Address: Last Routine Inspection Date: 03-22-2019 140 Hill St

Bucyrus OH 44820 Crawford County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B03848012 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5133543787

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date: 02-05-2020 6480 Harrison

Cincinnati OH 45247 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 5

Reg #: 10G03848013 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5133543787

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date: 02-04-2021 463 Ohio Pike Ste 201

Cincinnati OH 45255 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J03848015 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5133543700

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date: 02-14-2020 3950 Red Bank Rd

Cincinnati OH 45227 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10A03848019 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 07-31-2022 Facility Status: New Application Phone: 5133543745

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date:

8099 Cornell Rd

Cincinnati OH 45249 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 3

Reg #: 10M03848009 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5133543787

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date: Great American Ballpark 05-20-2019 100 Main St

Cincinnati OH 45202 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A03848017 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5133543745

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date: 02-22-2021 5900 Boymel Dr

Fairfield OH 45014 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10A03848018 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5133543745

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date: 01-21-2021 100 Arrow Springs Blvd Ste 2600

Lebanon OH 45036 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H03848014 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5133543700

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date: 05-27-2021 2835 Miami Village Dr

Miamisburg OH 45342 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 2

Reg #: 10B03848002 Facility Name: Beacon Orthopaedics & Sports Medicine Ltd

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5133543787

IRRP: Heather Skidmore RT(R)

Site Address: Last Routine Inspection Date: 03-09-2021 500 E Business Way

Sharonville OH 45241 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 5 M10 Fluoroscopic: C-Arm (Mobile) Operating 4 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 10 Reg #: 10F17123004 Facility Name: Beavercreek Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9577024261

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Soin Family Practice Center 12-09-2020 2145 N Fairfield Rd

Beavercreek OH 45431 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A17123005 Facility Name: Beavercreek Medical Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9377024261

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Springfield Health Center 08-28-2018 2100 Emmanuel Way

Springfield OH 45502 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10K04022001 Facility Name: Beavertown Clinic Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9372942555

IRRP: Karl Rose MD

Site Address: Last Routine Inspection Date: 02-02-2021 3017 Wilmington Pike

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M19516001 Facility Name: Bellefaire Jewish Children's Bureau

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2169322800

IRRP: Sonal Moratschek MD

Site Address: Last Routine Inspection Date: 10-15-2018 22001 Fairmount Blvd Bldg B

Shaker Heights OH 44118 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 1 1

Reg #: 10G17758001 Facility Name: Bellefonte Physician Services Inc

Type: Clinic Expiration Date: 07-31-2021 Facility Status: Active Registrant Phone: 6068334663

IRRP: Rebecca J Powers

Site Address: Last Routine Inspection Date: Bellefonte Urgent Care-Wheelersburg 03-25-2020 8991 Ohio River Rd

Wheelersburg OH 45694 Scioto County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10L05233010 Facility Name: Bellevue Hospital

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4194834040

IRRP: David V West MD

Site Address: Last Routine Inspection Date: Bellevue Hospital Medical Offices 04-11-2019 102 Commerce Park

Bellevue OH 44811 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C16060001 Facility Name: Beresh Pain Management Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5137377246

IRRP: John E Beresh MD

Site Address: Last Routine Inspection Date: 06-09-2020 840 NW Washington Blvd Ste D

Hamilton OH 45013 Butler County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10G20650001 Facility Name: BEST Health Clinic LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 7276444372

IRRP: Sara McLear

Site Address: Last Routine Inspection Date:

644 Eden Park Dr

Cincinnati OH 45202 Hamilton County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 1 1

Reg #: 10D04956001 Facility Name: Bethesda Family Practice Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5139776700

IRRP: Lorraine Stephens MD

Site Address: Last Routine Inspection Date: 01-16-2018 1775 Lexington Ave Ste 100

Cincinnati OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10A07108006 Facility Name: Bethesda Healthcare Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5137523695

IRRP: Collette Eisen

Site Address: Last Routine Inspection Date: Bethesda Care Eastgate 05-14-2021 4452 Eastgate Blvd Ste 101

Cincinnati OH 45245 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M07108001 Facility Name: Bethesda Healthcare Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5135631505

IRRP: Donna J Joyner

Site Address: Last Routine Inspection Date: Bethesda Care Sharonvillle 10-19-2018 3801 Hauck Rd

Cincinnati OH 45241 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M07108004 Facility Name: Bethesda Healthcare Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5132414136

IRRP: Christopher Vest RT(R)

Site Address: Last Routine Inspection Date: Bethesda Care Queensgate 02-08-2018 1150 W 8th St Ste 120

Cincinnati OH 45203 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F07108007 Facility Name: Bethesda Healthcare Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5138743990

IRRP: Kitty Waters RT(R)

Site Address: Last Routine Inspection Date: Bethesda Care Butler County 11-04-2019 8500 Bilstein Blvd

Hamilton OH 45015 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A03288018 Facility Name: Bethesda Hospital Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5133466900

IRRP: David F Dow MD

Site Address: Last Routine Inspection Date: Bethesda Outpatient Surgery Center 09-12-2019 10615 Montgomery Rd Ste 300

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10K03288021 Facility Name: Bethesda Hospital Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5133461247

IRRP: David F Dow MD

Site Address: Last Routine Inspection Date: TriHealth Kenwood Imaging 06-05-2019 8240 Northcreek Dr LL200 & LL300

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 7

Reg #: 10M03288010 Facility Name: Bethesda Hospital Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5132827093

IRRP: David F Dow MD

Site Address: Last Routine Inspection Date: Bethesda Medical Center @ Arrow Springs 10-22-2020 100 Arrow Springs Blvd

Lebanon OH 45036 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6 Reg #: 10J18491003 Facility Name: Birchcrest Holdings LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 2167658390

IRRP: Adrienne Jimenez RT(R)(MR)

Site Address: Last Routine Inspection Date: PDI South 01-23-2020 4760 Richmond Rd Ste 300

Warrensville OH 44128 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D18491002 Facility Name: Birchcrest Holdings LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4402609970

IRRP: Adrienne Jimenez RT(R)(MR)

Site Address: Last Routine Inspection Date: PDI West 07-03-2019 19250 Bagley Rd Ste 202

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10H17062001 Facility Name: BKC LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7403877246

IRRP: Adil O Katabay MD

Site Address: Last Routine Inspection Date: 03-23-2021 1065 Delaware Ave Ste A

Marion OH 43302 Marion County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10L11225001 Facility Name: Blanchard Valley Health System - Physicians Plus

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4194233888

IRRP: Eric V Bostick MD

Site Address: Last Routine Inspection Date: 09-18-2018 3949 N Main St

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L09755003 Facility Name: Blanchard Valley Medical Associates Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4194240380

IRRP: Leroy L Schroeder MD

Site Address: Last Routine Inspection Date: 05-29-2020 200 W Pearl St

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10G00537018 Facility Name: Blanchard Valley Regional Health Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4193960585

IRRP: Eric V Bostick MD

Site Address: Last Routine Inspection Date: Carey Diagnostic Center 09-11-2019 930 Sheriden Dr Ste B

Carey OH 43316 Wyandot County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G00537016 Facility Name: Blanchard Valley Regional Health Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4194297622

IRRP: Eric V Bostick MD

Site Address: Last Routine Inspection Date: EasternWoods Outpatient Center 08-19-2019 15900 Medical Dr S

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 5

Reg #: 10E00537017 Facility Name: Blanchard Valley Regional Health Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4194233703

IRRP: Andrew J Schneider PhD

Site Address: Last Routine Inspection Date: Armes Family Cancer Care Center 06-21-2021 15990 Medical Dr S

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 4 Reg #: 10K00537009 Facility Name: Blanchard Valley Regional Health Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4194297622

IRRP: Eric V Bostick MD

Site Address: Last Routine Inspection Date: BVH Rehab & Sports Medicine 04-08-2019 1721 Medical Blvd Ste B

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H00537008 Facility Name: Blanchard Valley Regional Health Center

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4195233681

IRRP: Eric V Bostick MD

Site Address: Last Routine Inspection Date: Ottawa Medical & Diagnostic Center 10-26-2020 1740 N Perry St Ste D

Ottawa OH 45875 Putnam County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10E20521001 Facility Name: Bloomington Medical Services LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 3302875936

IRRP: Daniel Grabowski RT(R)(MR)

Site Address: Last Routine Inspection Date: 04-16-2021 7488 St Rt 241

Millersburg OH 44654 Holmes County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10K19356001 Facility Name: Body Contour Centers LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5139451050

IRRP: Jose M Berger MD

Site Address: Last Routine Inspection Date: Sono Bello 04-24-2018 8044 Montgomery Rd Ste 430

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10E15408002 Facility Name: Boris Terebuh MD LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6143893089

IRRP: Boris Terebuh MD

Site Address: Last Routine Inspection Date: Ohio Spine & Musculoskeletal Center 04-30-2020 6860 Perimeter Dr Ste A

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H06631001 Facility Name: Bowling Green Orthopaedics Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4193521519

IRRP: Diane Wiebeck RT(R)

Site Address: Last Routine Inspection Date: 04-17-2019 1215 Ridgewood Dr Ste A

Bowling Green OH 43402 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J20048001 Facility Name: Bradenton Surgery Center LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6143369000

IRRP: Brian K Dorner MD

Site Address: Last Routine Inspection Date: 01-14-2020 4930 Bradenton Ave

Dublin OH 43017 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10A19543001 Facility Name: Brainard Surgery Center LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4404608000

IRRP: Bahman Guyuron MD

Site Address: Last Routine Inspection Date: 01-03-2019 29017 Cedar Rd

Lyndhurst OH 44124 Cuyahoga County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10H20014001 Facility Name: Breakthrough Medical Plus LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6149209902

IRRP: Rodney P Oberdorf DC

Site Address: Last Routine Inspection Date: 10-29-2019 38 E Columbus St

Pickerington OH 43147 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J17156002 Facility Name: Bressler & Schaeffer Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6148681180

IRRP: M Randy Bressler DO

Site Address: Last Routine Inspection Date: 05-04-2020 99 N Brice Rd Ste 120

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10E19772001 Facility Name: Brian P Brocker MD Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307479215

IRRP: Brian P Brocker MD

Site Address: Last Routine Inspection Date: 06-21-2019 1616 Covington St

Youngstown OH 44510 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M7 Fluoroscopic: Under Table Operating 1 3

Reg #: 10K01242001 Facility Name: Brunswick Orthopedics Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3302250404

IRRP: Konstantin R Kuschnir MD

Site Address: Last Routine Inspection Date: 04-05-2019 1212 Pearl Rd

Brunswick OH 44212 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10H18519001 Facility Name: BSK Orthopedics LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6142264828

IRRP: Scott D Cohen MD

Site Address: Last Routine Inspection Date: 04-01-2019 1090 Beecher Crossing N Ste A

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 1 1

Reg #: 10G20609001 Facility Name: BSMH Ambulatory Ventures II LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 3304490030

IRRP: Lisa Galich RT(R)

Site Address: Last Routine Inspection Date: Mercy Health Canfield Surgery Center 07-29-2021 4147 Westford Dr

Canfield OH 44406 Mahoning County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 2

Reg #: 10G20643001 Facility Name: BSMH Urgent Care Ventures I LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 5138538800

IRRP: Ruth Woosley RT(R)

Site Address: Last Routine Inspection Date: Mercy Health Maineville Urgent Care 6020 S St Rt 48

Maineville OH 45039 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J15237016 Facility Name: Butler County Community Health Consortium Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5134541111

IRRP: Stephen Roller CNP

Site Address: Last Routine Inspection Date: Primary Health Solutions - Forest Avenue 04-15-2020 300 Forest Ave

Dayton OH 45405 Butler County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4

Reg #: 10L15237010 Facility Name: Butler County Community Health Consortium Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5134541111

IRRP: Stephen Roller CNP

Site Address: Last Routine Inspection Date: Primary Health Solutions - Fairfield 03-25-2019 211 Donald Dr Ste B & additional location

Fairfield OH 45014 Butler County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 6 D2 Panoral (only) Operating 2 8

Reg #: 10F15237009 Facility Name: Butler County Community Health Consortium Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5134541460

IRRP: Stephen Roller CNP

Site Address: Last Routine Inspection Date: Primary Health Solutions - Middletown 10-15-2018 1036 S Verity Pkwy

Middletown OH 45044 Butler County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Operating 1 6 Reg #: 10B15237015 Facility Name: Butler County Community Health Consortium Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5134541111

IRRP: Stephen Roller CNP

Site Address: Last Routine Inspection Date: Middletown School-Based Health Center 01-29-2019 601 N Breiel Blvd Ste B

Middletown OH 45042 Butler County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3

Reg #: 10L17986001 Facility Name: Cabell Huntington Hospital Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3045262460

IRRP: Nancy Godby

Site Address: Last Routine Inspection Date: CHH Family Medical Center of Proctorville 11-07-2017 7718 County Road 107

Proctorville OH 45669 Lawrence County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F19845001 Facility Name: Camden-Clark Physician Corporation

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 7403744540

IRRP: Brian Whalin MD

Site Address: Last Routine Inspection Date: WVU Medicine Marietta Urgent Care 07-25-2019 26 Acme St

Marietta OH 45750 Washington County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H02555001 Facility Name: Cancer Network of West Central Ohio

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4195841900

IRRP: Ronald Froehlich MS

Site Address: Last Routine Inspection Date: Grand Lake Regional Cancer Center 05-16-2019 900 Havemann Rd

Celina OH 45822 Mercer County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10J06748002 Facility Name: Cancer Treatment Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3302626060

IRRP: Michael J Seider PhD MD

Site Address: Last Routine Inspection Date: 01-29-2019 2376 Benden Dr

Wooster OH 44691 Wayne County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 2

Reg #: 10J17127001 Facility Name: Capital City Pain Care LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6144420700

IRRP: Sarah E Blake MD

Site Address: Last Routine Inspection Date: 07-02-2021 3600 Olentangy River Rd Bldg 480

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10J17127002 Facility Name: Capital City Pain Care LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6149479173

IRRP: Sarah E Blake MD

Site Address: Last Routine Inspection Date: 06-02-2020 408 Glessner Ave

Mansfield OH 44903 Richland County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10B19589001 Facility Name: Capitol Pain Institute

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6144960083

IRRP: Dwight Mosley MD

Site Address: Last Routine Inspection Date: 11-19-2018 1509 Stonecreek Dr S

Pickerington OH 43147 Fairfield County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H20679001 Facility Name: Carbon Health Medical Group of Florida PA

Type: Clinic Expiration Date: 09-30-2023 Facility Status: New Application Phone: 7402682618

IRRP: Charles Clark RT(R)

Site Address: Last Routine Inspection Date:

1603 W Lane Ave Ste C 168

Columbus OH 43221 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G06393005 Facility Name: Care Alliance

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant that has moved Phone: 2166195571

IRRP: Suparna A Mahalaha DDS

Site Address: Last Routine Inspection Date: Berman Moving and Storage 06-10-2020 23800 Corbin Drive

Cleveland OH 44128 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 2 D2 Panoral (only) Non-Operating 1 3

Reg #: 10C06393006 Facility Name: Care Alliance

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 2167816228

IRRP: Suparna A Mahalaha DDS

Site Address: Last Routine Inspection Date: 10-09-2018 2916 Central Ave

Cleveland OH 44115 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 5 D2 Panoral (only) Operating 1 6

Reg #: 10A06393001 Facility Name: Care Alliance

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2167816724

IRRP: Suparna A Mahalaha DDS

Site Address: Last Routine Inspection Date: 07-24-2019 1530 St Clair Ave

Cleveland OH 44114 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4 Reg #: 10F06393002 Facility Name: Care Alliance

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant that has moved Phone: 2169235000

IRRP: Suparna A Mahalaha DDS

Site Address: Last Routine Inspection Date: Berman Moving and Storage 05-17-2018 23800 Corbin Drive

Cleveland OH 44128 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 D1 Intraoral Operating 1 D2 Panoral (only) Non-Operating 1 D2 Panoral (only) Operating 1 4

Reg #: 10E19024002 Facility Name: Carelife Imaging LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7404504200

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Northern Lights Imaging 08-04-2020 3287 Maple Ave

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10E16903001 Facility Name: Cavaliers Operating Company LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2164202258

IRRP: Stephen Spiro

Site Address: Last Routine Inspection Date: Cleveland Cavaliers - Quicken Loans Arena 10-04-2017 1 Center Ct

Cleveland OH 44115 Cuyahoga County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Operating 1 1 Reg #: 10D16899001 Facility Name: Celina Pro Health

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4193943387

IRRP: Anne Ly

Site Address: Last Routine Inspection Date: 03-19-2020 801 Pro Dr

Celina OH 45822 Mercer County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E15409001 Facility Name: Center for Arthritis of Warren Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3303999776

IRRP: Fabio V Ochoa MD

Site Address: Last Routine Inspection Date: 08-01-2018 1716 North Rd SE

Warren OH 44484 Trumbull County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10K09928001 Facility Name: Center For Family Medicine LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9377463088

IRRP: Jessica Amburgey RT(R)

Site Address: Last Routine Inspection Date: 06-09-2020 333 Conover Dr Ste E

Franklin OH 45005 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Non-Operating 1 2 Reg #: 10E20509001 Facility Name: Center for Symptom Relief LLC, The

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6144590350

IRRP: Amit B Patel MD

Site Address: Last Routine Inspection Date: 05-04-2021 1161 Bethel Rd Ste 204

Columbus OH 43220 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10L01288001 Facility Name: Center for Women Inc, The

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3307021281

IRRP: Steven Aubel MD

Site Address: Last Routine Inspection Date: 12-20-2018 4139 Boardman Canfield Rd

Canfield OH 44406 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2

Reg #: 10E19765001 Facility Name: Center of Care Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6143895281

IRRP: Thomas S Rankin DDS

Site Address: Last Routine Inspection Date: 03-21-2019 640 S Ohio Ave

Columbus OH 43205 Franklin County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 1 Reg #: 10L16542001 Facility Name: Center Street Community Clinic Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7403824939

IRRP: Alisha Paxton

Site Address: Last Routine Inspection Date: 11-27-2018 136 W Center St

Marion OH 43302 Marion County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Non-Operating 1 D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 6

Reg #: 10A16542003 Facility Name: Center Street Community Clinic Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4199463856

IRRP: Jacque Garverick

Site Address: Last Routine Inspection Date: Morrow Family Dental 01-25-2021 76 S Main St

Mount Gilead OH 43338 Morrow County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3

Reg #: 10L11073003 Facility Name: Central Ohio Pediatrics Endoc & Diabetes Svcs

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6148393040

IRRP: William B Zipf MD

Site Address: Last Routine Inspection Date: 08-22-2019 55 Dillmont Dr Ste 100

Columbus OH 43235 Franklin County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10E03249018 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6148376363

IRRP: Robin L Franz MD

Site Address: Last Routine Inspection Date: COPC Tri County Family Physicians 02-14-2020 11925 Lithopolis Rd NW

Canal Winchester OH 43110 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K03249019 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6148348042

IRRP: Neal Makadia

Site Address: Last Routine Inspection Date: Family Medicine & Pediatrics @ Winchester 03-12-2019 Sq 6201 Gender Rd

Canal Winchester OH 43110 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M03249017 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6148608060

IRRP: Rakesh Jha MD

Site Address: Last Routine Inspection Date: COPC Radiology - E Main 07-08-2020 6096 E Main St Ste 109

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10G03249006 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6144427550

IRRP: J Kevin Moffa MD

Site Address: Last Routine Inspection Date: Central Ohio Medicine 06-29-2020 4030 Henderson Rd

Columbus OH 43220 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H03249010 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6144574806

IRRP: Steven Dusseau DO

Site Address: Last Routine Inspection Date: Northwest Family Physicians 07-13-2020 3578 Fishinger Blvd

Columbus OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10K03249012 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6142730411

IRRP: Rakesh Jha MD

Site Address: Last Routine Inspection Date: COPC Radiology - Olentangy 11-18-2019 4885 Olentangy River Rd

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 4 Reg #: 10M03249020 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6144719654

IRRP: John W Tyznik MD

Site Address: Last Routine Inspection Date: Family Physicians of Gahanna 05-06-2019 725 Buckles Court N Ste 100

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L03249023 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7405870087

IRRP: Donald A DeShetler Jr MD

Site Address: Last Routine Inspection Date: COPC Cherry Westgate Family Practice 03-29-2021 2000 Newark-Granville Rd Ste 100

Granville OH 43023 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G03249021 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6148953344

IRRP: Michael Skeels DO

Site Address: Last Routine Inspection Date: Sport Spine & Joint 05-06-2021 568 S Cleveland Ave Ste B

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2 Reg #: 10C03249008 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6148822521

IRRP: Jacqueline M Amico MD

Site Address: Last Routine Inspection Date: Amico, Stock & Associates 05-04-2020 3382 Paris Blvd

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10K03249011 Facility Name: Central Ohio Primary Care Physicians Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6147765750

IRRP: Rakesh Jha MD

Site Address: Last Routine Inspection Date: COPC Radiology - Westerville 01-08-2019 625 Africa Rd Ste 140

Westerville OH 43082 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 4

Reg #: 10J02736001 Facility Name: Central Ohio Surgical Institute

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6144132233

IRRP: Marcy Delvecchio RN

Site Address: Last Routine Inspection Date: 01-15-2019 6520 W Campus Oval

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 3 Reg #: 10D15868012 Facility Name: Central Ohio Urology Group LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6143962684

IRRP: Alicia Emanivong

Site Address: Last Routine Inspection Date: 01-10-2019 701 Tech Center Dr

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10D15868014 Facility Name: Central Ohio Urology Group LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6149444770

IRRP: Michael Hardin

Site Address: Last Routine Inspection Date: Columbus Prostate Cancer Center 05-23-2019 620 Morrison Rd Ste B

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10D15868013 Facility Name: Central Ohio Urology Group LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6143962480

IRRP: Alicia Emanivong

Site Address: Last Routine Inspection Date: 02-25-2019 350 W Wilson Bridge Rd

Worthington OH 43085 Franklin County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10H20004001 Facility Name: Central Ohio Urology Surgery Center LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6143962684

IRRP: Michael F Cunningham MD

Site Address: Last Routine Inspection Date: 05-28-2020 701 Tech Center Dr Ste 200

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10K20146001 Facility Name: Central Ohio Vascular Care Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6147298483

IRRP: Josh Williams RT(R)

Site Address: Last Routine Inspection Date: Vive Vascular 02-27-2020 6488 E Main St Ste 120

Reynoldsburg OH 43068 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10J17130001 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5132329100

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Beechmont Urgent Care 05-01-2018 7300 Beechmont Ave

Cincinnati OH 45230 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E17130004 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5133767116

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Norwood Urgent Care 03-31-2021 4406 Montgomery Rd

Cincinnati OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J17130005 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5133769354

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Hyde Park Urgent Care 06-19-2018 3802 Paxton Ave

Cincinnati OH 45209 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D17130007 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5139750377

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Carefirst Urgent Care Kenwood 04-01-2019 7200 Blue Ash Rd

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D17130008 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5138320980

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Carefirst Urgent Care Bridgetown 04-16-2019 5505 Harrison Ave

Cincinnati OH 45248 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D17130012 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5137521999

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Carefirst Urgent Care Eastgate 05-07-2019 4530 Eastgate Blvd Ste B-616

Cincinnati OH 45245 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D17130009 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5138682345

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Carefirst Urgent Care Fairfield 03-08-2019 5390 Dixie Hwy

Fairfield OH 45014 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H17130003 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 5139347171

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Lebanon Urgent Care 03-19-2019 1000 Columbus Ave Ste B

Lebanon OH 45036 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D17130010 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5136772400

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Carefirst Urgent Care Loveland 04-02-2019 10582 Loveland Madeira Rd

Loveland OH 45140 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D17130011 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5134331288

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Carefirst Urgent Care Middletown 04-09-2019 519 S Breiel Blvd

Middletown OH 45044 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L17130006 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9375504511

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: Springboro Urgent Care 06-05-2018 540 W Central Ave

Springboro OH 45066 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J17130002 Facility Name: CG Medical Associates Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5137771333

IRRP: Chetan Gupta MD

Site Address: Last Routine Inspection Date: West Chester Urgent Care 04-24-2020 7345 Kingsgate Way

West Chester OH 45069 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D09002003 Facility Name: CH Health Services Company

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9373288700

IRRP: Stephen E Popper DO

Site Address: Last Routine Inspection Date: Mercy Health Occupational Health 04-06-2018 Springfield 2501 E High St

Springfield OH 45505 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L07036001 Facility Name: Chagrin Surgery Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2168391800

IRRP: Sue Campion

Site Address: Last Routine Inspection Date: Surgcenter Cleveland 10-04-2019 3755 Orange Pl Ste 102

Beachwood OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3

Reg #: 10K02941001 Facility Name: Charles L Valone DO

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4193347191

IRRP: Charles L Valone DO

Site Address: Last Routine Inspection Date: Fremont Medical Center 07-09-2019 1223 Oak Harbor Rd

Fremont OH 43420 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10E16232001 Facility Name: Charn Nandra MD PC Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7402845522

IRRP: Charn Nandra MD

Site Address: Last Routine Inspection Date: 11-01-2018 114 Brady Cir E

Steubenville OH 43952 Jefferson County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1 Reg #: 10M00179023 Facility Name: Children's Hospital Medical Ctr of Akron

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3305438275

IRRP: Michael D Rubin MD

Site Address: Last Routine Inspection Date: 09-16-2020 2 Perkins Sq & additional locations

Akron OH 44308 Summit County

Tubes Tube Code Description Status Quantity D6 Dental CT Operating 1 M1 Radiographic (Stationary) Operating 7 8

Reg #: 10H00179058 Facility Name: Children's Hospital Medical Ctr of Akron

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3305434015

IRRP: Michael D Rubin MD

Site Address: Last Routine Inspection Date: 10-28-2019 328 E Hines Hill

Boston Heights OH 44236 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F00179053 Facility Name: Children's Hospital Medical Ctr of Akron

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3305434015

IRRP: Michael D Rubin MD

Site Address: Last Routine Inspection Date: Speciality & Urgent Care 08-06-2020 1029 S Trimble Rd

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F00179057 Facility Name: Children's Hospital Medical Ctr of Akron

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3305434015

IRRP: Michael D Rubin MD

Site Address: Last Routine Inspection Date: 10-06-2020 3443 Medina Rd

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K00179056 Facility Name: Children's Hospital Medical Ctr of Akron

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3305434015

IRRP: Michael D Rubin MD

Site Address: Last Routine Inspection Date: North Canton Specialty Care 11-25-2019 6076 Whipple Ave NW

North Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C00179050 Facility Name: Children's Hospital Medical Ctr of Akron

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3307469336

IRRP: Michael D Rubin MD

Site Address: Last Routine Inspection Date: Akron Children's Specialty Clinic - Warren 05-18-2021 5000 E Market St Ste 29

Warren OH 44484 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D00601017 Facility Name: Childrens Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant that has moved Phone: 9376415701

IRRP: Elizabeth Ey MD

Site Address: Last Routine Inspection Date: Dayton Childrens Outpatient Tst Ctr - 01-03-2020 Beavercreek 1425 N Fairfield Rd

Beavercreek OH 45434 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 2

Reg #: 10F00601043 Facility Name: Childrens Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9376414569

IRRP: Elizabeth Ey MD

Site Address: Last Routine Inspection Date: Dayton Children's Hosptial 06-28-2019 1010 Valley St

Dayton OH 45404 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M00601016 Facility Name: Childrens Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9376415760

IRRP: Elizabeth Ey MD

Site Address: Last Routine Inspection Date: Dayton Childrens Outpatient Testing Ctr - 09-28-2018 Far Hills 4475 Far Hills Ave

Dayton OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G00601041 Facility Name: Childrens Medical Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9376413180

IRRP: Elizabeth Ey MD

Site Address: Last Routine Inspection Date: Dayton Childrens Outpatient Care Ctr-Huber 11-27-2018 Hgts 8501 Old Troy Pike

Huber Heights OH 45424 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C00601023 Facility Name: Childrens Medical Center

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9376415701

IRRP: Elizabeth Ey MD

Site Address: Last Routine Inspection Date: Dayton Childrens Outpatient Testing Ctr- 01-11-2019 Miamisburg 3333 W Tech Rd

Miamisburg OH 45342 Montgomery County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 3 M1 Radiographic (Stationary) Operating 4 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 2 M4 C.T. (Computerized Tomography) Operating 1 M7 Fluoroscopic: Under Table Operating 1 13 Reg #: 10J00601036 Facility Name: Childrens Medical Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9376415701

IRRP: Elizabeth Ey MD

Site Address: Last Routine Inspection Date: Ohio Pediatric Care Alliance LLC 04-30-2020 1644 N Limestone St

Springfield OH 45503 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D00601042 Facility Name: Childrens Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9376414546

IRRP: Elizabeth Ey MD

Site Address: Last Routine Inspection Date: Outpatient Care Center Troy 02-22-2019 865 W Market St

Troy OH 45373 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E03835013 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5135853334

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date: Christ Hospital Imaging Center 11-06-2018 4440 Redbank Rd Ste 100 & 4460 Red Bank Ste 110

Cincinnati OH 45227 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6 Reg #: 10K03835014 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5132723448

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date: Christ Hospital Surgery Center 05-24-2019 4850 Red Bank Rd Ste 100

Cincinnati OH 45227 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M2 Radiographic Mobile Operating 1 4

Reg #: 10F03835016 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5135853334

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date: Christ Hospital Outpatient Center 06-16-2021 Beechmont 7545 Beechmont Ave Ste X

Cincinnati OH 45255 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 5 Reg #: 10K03835017 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5135645400

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date: Christ Hospital Outpatient Center Green 05-22-2018 Township 5885 Harrison Ave

Cincinnati OH 45248 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6

Reg #: 10H03835021 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 5137927445

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date: TCHOA Spine Blue Ash 01-07-2019 9250 Blue Ash Rd

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E03835024 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 5135853334

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date:

8989 Winton Rd

Cincinnati OH 45231 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F03835025 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 5135852000

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date:

6620 Clough Pike

Cincinnati OH 45244 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10M03835009 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5135853334

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date: Christ Hospital Medical Office Bldg 02-10-2021 2123 Auburn Ave

Cincinnati OH 45219 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 3 M6 Stereotactic Biopsy Operating 2 S3 Cabinet System exclude admittance Operating 1 11 Reg #: 10B03835020 Facility Name: Christ Hospital

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5135853334

IRRP: Philip Munschauer DO

Site Address: Last Routine Inspection Date: Christ Hospital Outpatient Center 05-01-2019 Montgomery 11140 Montgomery Rd

Montgomery OH 45249-2309 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 4 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 M6 Stereotactic Biopsy Operating 2 S3 Cabinet System exclude admittance Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 14

Reg #: 10L01285001 Facility Name: Chrobak LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3303866339

IRRP: Lyndsey Walker RT(R)

Site Address: Last Routine Inspection Date: Doctors On Call of East Liverpool 04-26-2019 332 W Sixth St

East Liverpool OH 43920 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D16809002 Facility Name: Chronic Pain Resources LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6144450965

IRRP: Gulam J Mukhdomi MD

Site Address: Last Routine Inspection Date: 06-12-2020 855 S Wall St

Columbus OH 43206 Franklin County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 1 1

Reg #: 10C16809001 Facility Name: Chronic Pain Resources LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6149498252

IRRP: Gulam J Mukhdomi MD

Site Address: Last Routine Inspection Date: 06-09-2021 4207 Gantz Rd

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10F18411001 Facility Name: Cincinnati Comprehensive Pain

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5139000750

IRRP: Hammam H Akbik MD

Site Address: Last Routine Inspection Date: 10-04-2018 2818 Mack Rd

Fairfield OH 45014 Butler County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10E20493001 Facility Name: Cincinnati Health Network Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 5133867899

IRRP: Kim M Oberlander DDS

Site Address: Last Routine Inspection Date:

40 E McMicken Ave

Cincinnati OH 45202 Hamilton County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 1 D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 2 4

Reg #: 10G20651001 Facility Name: Cincinnati Imaging Center LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 7276444372

IRRP: Sara McLear

Site Address: Last Routine Inspection Date:

644 Eden Park Dr

Cincinnati OH 45202 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M07413005 Facility Name: Cincinnati P E T Scan LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5137919959

IRRP: Lennie Borrelli MS

Site Address: Last Routine Inspection Date: 12-11-2018 4777 E Galbraith Rd 1st Flr

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10B18163001 Facility Name: Cincinnati Pain Physicians LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5138910022

IRRP: Gururau Sudarshan MD FRCA

Site Address: Last Routine Inspection Date: 02-02-2021 8261 Cornell Rd Ste 620

Cincinnati OH 45249 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10C18902001 Facility Name: Citran X-Ray LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9373406488

IRRP: Anna M Peters RT(R)

Site Address: Last Routine Inspection Date: Citran Occupational Health 02-27-2020 7774 Dayton-Springfield Rd Ste D

Enon OH 45324 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17917001 Facility Name: City Hope Toledo Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4194605611

IRRP: Paul Chandler

Site Address: Last Routine Inspection Date: That Neighborhood Free Health Clinic 07-30-2019 306 Bush St

Toledo OH 43604 Lucas County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1 Reg #: 10A18117001 Facility Name: Clermont County Cancer Center LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6069231222

IRRP: Prakash B Patel MD

Site Address: Last Routine Inspection Date: Clermont County Cancer Center 02-25-2021 4402 Hartman Ln

Batavia OH 45103 Clermont County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10H05829003 Facility Name: Cleveland Browns Football Co LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4408246160

IRRP: Catherine Meassick

Site Address: Last Routine Inspection Date: Cleveland Browns Training Facility 02-20-2019 76 Lou Groza Blvd

Berea OH 44017 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10G05829001 Facility Name: Cleveland Browns Football Co LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4408915125

IRRP: David W Jordan PhD

Site Address: Last Routine Inspection Date: Cleveland Browns Stadium 07-13-2020 1085 W Third St

Cleveland OH 44114 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 2 Reg #: 10H03289038 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 4406954297

IRRP: Amy Graska

Site Address: Last Routine Inspection Date: Richard E Jacobs Health Center 07-05-2018 33100 Cleveland Clinic Blvd

Avon OH 44011 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 3

Reg #: 10K03289051 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2164446645

IRRP: Tara Lassen BS RT(R)(M)

Site Address: Last Routine Inspection Date: Cleveland Clinic Primary Care of Avon Lake 09-16-2020 450 Avon Belden Rd

Avon Lake OH 44012 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M03289042 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2168393419

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Beachwood Family Health & Surgical Ctr 04-27-2021 26900 Cedar Rd & additional Location

Beachwood OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 6 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 3 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 5 M6 Stereotactic Biopsy Operating 1 M7 Fluoroscopic: Under Table Operating 1 S3 Cabinet System exclude admittance Operating 1 22

Reg #: 10A03289097 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4405843333

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Cleveland Clinic Medical Offices - 03-03-2021 Broadview Hgts 2001 E Royalton Rd

Broadview Heights OH 44147 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2 Reg #: 10K03289052 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4408782670

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Cleveland Clinic Brunswick Family Health 07-12-2018 Center 3574 Center Rd

Brunswick OH 44212 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 4

Reg #: 10J03289063 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4405438855

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Cleveland Clinic Bainbridge Urgent Care 12-27-2018 17747 Chillicothe Rd

Chagrin Falls OH 44023 Geauga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K03289064 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4405426862

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Chagrin Falls Family Health Center 12-13-2019 551 E Washington St

Chagrin Falls OH 44023 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M5 Mammographic Operating 1 3 Reg #: 10K03289062 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2164446645

IRRP: Ping Xia PhD

Site Address: Last Routine Inspection Date: Cleveland Clinic Therapy 02-26-2020 9500 Euclid Ave

Cleveland OH 44106 Cuyahoga County

Tubes Tube Code Description Status Quantity T1 Therapy - Operates <= 250 kVp Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 6 T4 Simulator: C.T. Operating 2 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 7 16

Reg #: 10B03289028 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2164446645

IRRP: Paul G Johnson MS DABR DABHP

Site Address: Last Routine Inspection Date: Main Clinics 10-01-2020 9500 Euclid Ave & additional locations

Cleveland OH 44195 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 16 D5 Extraoral with Panoral Operating 1 D6 Dental CT Operating 1 D7 Hand-held Dental Operating 1 M1 Radiographic (Stationary) Operating 9 M10 Fluoroscopic: C-Arm (Mobile) Operating 8 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M3 Bone Densitometry Operating 6 M5 Mammographic Operating 9 M6 Stereotactic Biopsy Operating 1 S3 Cabinet System exclude admittance Operating 1 55 Reg #: 10K03289050 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2164446645

IRRP: Tara Lassen BS RT(R)(M)

Site Address: Last Routine Inspection Date: Cleveland Clinic @ Chestnut Commons 07-05-2018 303 Chestnut Commons Dr

Elyria OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M6 Stereotactic Biopsy Operating 1 4

Reg #: 10K03289040 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2166927752

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Euclid Orthopedics 07-11-2019 99 N Line Cir

Euclid OH 44119 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10B03289056 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2165163850

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Cleveland Clinic Sports Health Center 08-29-2018 5555 Transportation Blvd

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 4 Reg #: 10D03289034 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2164479747

IRRP: Curtis Reece

Site Address: Last Routine Inspection Date: Cleveland Clinic Independence Radiation 01-19-2021 Oncology 5001 Rockside Rd

Independence OH 44131 Cuyahoga County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10G03289037 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 07-31-2021 Facility Status: Active Registrant Phone: 2169864000

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Independence Family Health Center 10-02-2018 5001 Rockside Rd

Independence OH 44131 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 4 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 9 Reg #: 10M03289095 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3303448355

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Cleveland Clinic Express Care Kent 09-25-2018 4494 St Rt 43

Kent OH 44195 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L03289093 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2162375500

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Lakewood FHC & Rocky River Urgent Care 01-02-2020 14601 Detroit Ave & additional location

Lakewood OH 44107-4316 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6 Reg #: 10B03289029 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2164446645

IRRP: Tara Lassen BS RT(R)(M)

Site Address: Last Routine Inspection Date: Lorain Family Health & Surgery Ctr 07-29-2020 5700 Cooper Foster Park Rd W

Lorain OH 44053 Lorain County

Tubes Tube Code Description Status Quantity E70 Tube Only Non-Operating 1 M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 4 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 14

Reg #: 10B03289071 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4404281111

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Cleveland Clinic Madison Medical Office 06-19-2019 Building 2999 McMackin Rd

Madison OH 44057 Lake County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10J03289077 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4197562122

IRRP: Susan Kost

Site Address: Last Routine Inspection Date: Ohio Cancer Specialists Inc 07-02-2020 1125 Aspira Ct

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10E03289074 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2164446645

IRRP: Paul G Johnson MS DABR DABHP

Site Address: Last Routine Inspection Date: Cleveland Clinic Transition Storage 04-26-2018 6777 Mayfield Rd

Mayfield Heights OH 44124 Cuyahoga County

Reg #: 10A03289096 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2166363157

IRRP: Richelle Weber RT(R)

Site Address: Last Routine Inspection Date: Cleveland Clinic Express & Outpatient Care 12-03-2018 8210 Macedonia Commons Blvd Ste 40

Mecedonia OH 44056 Summit County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10B03289072 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4403572770

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Mentor Family Health Center 11-19-2019 7060 Wayside Dr

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A03289065 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2164480216

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Cleveland Clinic Middleburg Heights 07-28-2020 Orthopaedics 7010 Engle Rd

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F03289058 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3305052280

IRRP: Michael Rotunno

Site Address: Last Routine Inspection Date: Cleveland Clinic Star Imaging Niles 03-12-2019 652 Youngstown Warren Rd

Niles OH 44446 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M7 Fluoroscopic: Under Table Non-Operating 1 3 Reg #: 10D03289094 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2164764335

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: North Olmsted Family Health Center 07-28-2020 24700 Lorain Rd Ste 106

North Olmsted OH 44070 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C03289073 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4196269090

IRRP: Justin Sherman

Site Address: Last Routine Inspection Date: 04-02-2019 417 Quarry Lakes Dr

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 6

Reg #: 10D03289088 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4409348996

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Sheffield Family Health Center 07-11-2018 5334 Meadow Lane Ct

Sheffield Village OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J03289039 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4405196834

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Solon Family Health Center 04-11-2019 29800 Bainbridge Rd

Solon OH 44139 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 4

Reg #: 10M03289087 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4408783297

IRRP: Lama Muhieddine Mossolly MS

Site Address: Last Routine Inspection Date: Cleveland Clinic Strongsville Radiation 06-02-2021 Oncology 16761 Southpark Center

Strongsville OH 44136 Cuyahoga County Reg #: 10C03289030 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4408782723

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Strongsville Family Health & Surgery Ctr 01-06-2021 16761 South Park Ctr

Strongsville OH 44136 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 4 14

Reg #: 10G03289067 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3308884151

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Twinsburg Family Health Center 02-02-2021 8701 Darrow Rd

Twinsburg OH 44087 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 4 M10 Fluoroscopic: C-Arm (Mobile) Operating 3 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M2 Radiographic Mobile Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Operating 1 16 Reg #: 10E03289036 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4402505728

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: Westlake Imaging Center 08-23-2018 850 Columbia Rd

Westlake OH 44145 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D03289031 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4409432992

IRRP: Scott Klammer

Site Address: Last Routine Inspection Date: 02-09-2021 2550 & 2570 SOM Center Rd

Willoughby Hills OH 44094 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 7 Reg #: 10H03289076 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 3302874500

IRRP: Matthew Vossler MS

Site Address: Last Routine Inspection Date: Cleveland Clinic in Wooster - Therapy 11-25-2019 721 Milltown Rd

Wooster OH 44691 Wayne County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10D03289033 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3302638869

IRRP: Sabrina Miller

Site Address: Last Routine Inspection Date: 12-03-2019 721 Milltown Rd & 1740 Cleveland Rd

Wooster OH 44691 Wayne County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 6 Reg #: 10E03289075 Facility Name: Cleveland Clinic Foundation

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3305052280

IRRP: Michael Rotunno

Site Address: Last Routine Inspection Date: Cleveland Clinic Star Imaging - Boardman 01-03-2020 7067 Tiffany Blvd

Youngstown OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M7 Fluoroscopic: Under Table Operating 1 4

Reg #: 10F00605010 Facility Name: Cleveland Clinic Health System East Region

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4403127359

IRRP: Michael Wehn RT(R)

Site Address: Last Routine Inspection Date: Cleveland Clinic Hillcrest Hospital Radiology 08-24-2020 6803 Mayfield Rd Ste 206

Mayfield Heights OH 44124 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 5 Reg #: 10F17706001 Facility Name: Cleveland East Vascular Care LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 2162738010

IRRP: Daniel Rockey MD

Site Address: Last Routine Inspection Date: 06-22-2021 23650 Commerce Park Unit B

Beachwood OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3

Reg #: 10J18573001 Facility Name: Cleveland Indians Baseball Co LP

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 2164204574

IRRP: James Quinlan

Site Address: Last Routine Inspection Date: 09-30-2019 2401 Ontario St

Cleveland OH 44115 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10K20147001 Facility Name: Cleveland Urgent Care LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2164313733

IRRP: Abedalhakeem D Abukhalil RPH

Site Address: Last Routine Inspection Date: 03-12-2020 1956 E 79th St

Cleveland OH 44103 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10M07363002 Facility Name: Clinic Medical Services Company LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6147486100

IRRP: Vicky Hacker

Site Address: Last Routine Inspection Date: Cleveland Clinic Imaging 11-08-2019 921 Jasonway Ave

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10H16569001 Facility Name: Code Blue Medical Services Inc

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 5136779117

IRRP: William R Danko MD

Site Address: Last Routine Inspection Date: Rivers Bend Urgent Care 02-26-2020 87 E Hwy 22/3 Ste 800

Maineville OH 45039 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E16247001 Facility Name: Colerain Urgent Care LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5139232300

IRRP: Bashar Brijawi MD

Site Address: Last Routine Inspection Date: 11-09-2018 3645 Stone Creek Blvd Ste D

Cincinnati OH 45251 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H16247002 Facility Name: Colerain Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 5132235444

IRRP: Husam Hamed MD

Site Address: Last Routine Inspection Date: Midtown Urgent Care 12-03-2019 5002 Ridge Ave

Cincinnati OH 45209 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J01897001 Facility Name: Columbus Arthritis Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6144865200

IRRP: Kevin D Schlessel MD

Site Address: Last Routine Inspection Date: 03-06-2019 1211 Dublin Rd

Columbus OH 43215 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10F09841001 Facility Name: Columbus Cancer Clinic

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6144372839

IRRP: Caryn Halstead

Site Address: Last Routine Inspection Date: A Program of Lifecare Alliance 11-16-2018 1699 W Mound St

Columbus OH 43223 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10A04255001 Facility Name: Columbus Mammography Center Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6144597880

IRRP: Diana Von Voigt RT(R)(M)CDT

Site Address: Last Routine Inspection Date: Solis Womens Health @ Columbus 04-07-2021 Mammography 974 Bethel Rd Ste F

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 3

Reg #: 10L09575006 Facility Name: Columbus Neighborhood Health Center Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6146452300

IRRP: Deani L Deskins-Knebel DDS

Site Address: Last Routine Inspection Date: Westside Dental Health Center 08-03-2021 2300 W Broad St

Columbus OH 43204 Franklin County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 5 D2 Panoral (only) Operating 1 6 Reg #: 10K09575001 Facility Name: Columbus Neighborhood Health Center Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6146455541

IRRP: Deani L Deskins-Knebel DDS

Site Address: Last Routine Inspection Date: PrimaryOne Health East Main Dental 09-20-2019 1180 E Main St

Columbus OH 43205 Franklin County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Non-Operating 1 D2 Panoral (only) Operating 1 5

Reg #: 10D08073005 Facility Name: Columbus Obstetricians Gynecologists Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6144342400

IRRP: Susan Good RT(R)

Site Address: Last Routine Inspection Date: 04-03-2019 1125 Yard St Ste 200

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10F08073006 Facility Name: Columbus Obstetricians Gynecologists Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6144342400

IRRP: Susan Good RT(R)

Site Address: Last Routine Inspection Date: 06-11-2019 150 Taylor Station Rd Ste 300

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10D08073008 Facility Name: Columbus Obstetricians Gynecologists Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6147776302

IRRP: Susan Good RT(R)

Site Address: Last Routine Inspection Date: 12-19-2019 7450 Hospital Dr Ste 280

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10A08073004 Facility Name: Columbus Obstetricians Gynecologists Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6147776302

IRRP: Susan Good RT(R)

Site Address: Last Routine Inspection Date: 04-25-2019 3750 Ridgemill Dr

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10E08073009 Facility Name: Columbus Obstetricians Gynecologists Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6147776302

IRRP: Susan Good RT(R)

Site Address: Last Routine Inspection Date: 06-10-2019 160 W Main St Ste 220

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10A18355003 Facility Name: Columbus Vascular Vein & Wound Center LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6149170696

IRRP: Rajmony Pannu MD

Site Address: Last Routine Inspection Date: 12-29-2020 895 S State St

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10D00595003 Facility Name: Community and Rural Health Services

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4193348855

IRRP: Jennifer T Becker DDS

Site Address: Last Routine Inspection Date: 01-13-2021 502 Van Buren

Fostoria OH 44830 Hancock County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4

Reg #: 10G00595005 Facility Name: Community and Rural Health Services

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4193348855

IRRP: Jennifer T Becker DDS

Site Address: Last Routine Inspection Date: 10-21-2020 2221 Hayes Ave

Fremont OH 43420 Sandusky County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 12 D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 14 Reg #: 10B00595006 Facility Name: Community and Rural Health Services

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4193348855

IRRP: Jennifer T Becker DDS

Site Address: Last Routine Inspection Date: 12-01-2020 407 Independence Dr

Napoleon OH 43545 Henry County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4

Reg #: 10D18008002 Facility Name: Community Health Centers of Greater Dayton

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9375286830

IRRP: T Jason Zigler DDS

Site Address: Last Routine Inspection Date: East Dayton Dental Center 04-01-2021 2132 E Third St

Dayton OH 45403 Montgomery County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 5

Reg #: 10E06676006 Facility Name: Community HealthCare Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3308544281

IRRP: Michele Howman

Site Address: Last Routine Inspection Date: Canal Fulton Family Practice 07-11-2018 944 Cherry St E

Canal Fulton OH 44614 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K06676003 Facility Name: Community HealthCare Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3308374264

IRRP: Gabrielle Blaylock RT(R)

Site Address: Last Routine Inspection Date: Massillon Family Practice 07-18-2018 6724 Wales Rd NW

Massillon OH 44646 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M06676001 Facility Name: Community HealthCare Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3306887981

IRRP: Shannon Smith

Site Address: Last Routine Inspection Date: Stow Kent Family Practice 10-15-2019 2971 Graham Rd

Stow OH 44224 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F06676005 Facility Name: Community HealthCare Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3308960009

IRRP: Patricia Snyder RT(R)

Site Address: Last Routine Inspection Date: Green Family Practice 04-30-2020 1700 Boettler Rd Ste 100

Uniontown OH 44685 Summit County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10E06676007 Facility Name: Community HealthCare Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3303317106

IRRP: Shannon Smith

Site Address: Last Routine Inspection Date: Shannon Smith 06-17-2019 860 Broad St

Wadsworth OH 44281 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A00241006 Facility Name: Community Hospitals & Wellness Centers

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4194454415

IRRP: Pamela Alpaugh

Site Address: Last Routine Inspection Date: Archbold Medical Center 01-12-2021 121 Westfield Dr

Archbold OH 43502 Fulton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M2 Radiographic Mobile Non-Operating 1 M2 Radiographic Mobile Operating 1 M8 Fluoroscopic: Above Table Operating 1 5 Reg #: 10G00241007 Facility Name: Community Hospitals & Wellness Centers

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4196361131

IRRP: Phillip Kallenberg

Site Address: Last Routine Inspection Date: CHWC Radiation Oncology Center 08-04-2020 524 W High St

Bryan OH 43506 Williams County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10F15479001 Facility Name: Community Medical Associates Ltd

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3307998752

IRRP: Daniel A Miller MD

Site Address: Last Routine Inspection Date: 07-16-2020 1450 S Canfield Niles Rd

Youngstown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1

Reg #: 10E03590016 Facility Name: Community Mercy Health Partners

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 9375239850

IRRP: Gregory P Carozza DO

Site Address: Last Routine Inspection Date: Springfield Regional Medical Group - 07-30-2019 Orthopedics 2600 N Limestone St Ste 150

Springfield OH 45503 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G20600001 Facility Name: Comprehensive Breast Care Center of Texas Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 6148432318

IRRP: Diana Von Voigt RT(R)(M)CDT

Site Address: Last Routine Inspection Date:

7495 State Rd Ste 300

Cincinnati OH 45255 Hamilton County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10G20600002 Facility Name: Comprehensive Breast Care Center of Texas Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 6148432318

IRRP: Diana Von Voigt RT(R)(M)CDT

Site Address: Last Routine Inspection Date:

3747 West Fork Rd

Cincinnati OH 45247 Hamilton County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10E00569001 Facility Name: Comprehensive Pain Care Center Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4402450016

IRRP: Bharat C Shah MD

Site Address: Last Routine Inspection Date: Lorain Surgery Center 03-30-2020 4804 Leavitt Rd

Lorain OH 44053 Lorain County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10G00569002 Facility Name: Comprehensive Pain Care Center Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4408998622

IRRP: Bharat C Shah MD

Site Address: Last Routine Inspection Date: 03-17-2020 902 Westpoint Pkwy Ste 330

Westlake OH 44145 Lorain County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10K17227001 Facility Name: Comprehensive Pain Management Institute LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7185305953

IRRP: Leon Margolin MD

Site Address: Last Routine Inspection Date: 12-29-2020 5245 E Main St

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 2 2

Reg #: 10K16505001 Facility Name: Comprehensive Pain Management Specialists

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3302082720

IRRP: Tony G Lababidi DO

Site Address: Last Routine Inspection Date: Comprehensive Surgerical Center of Green 04-10-2020 1560 Corporate Woods Pkwy

Uniontown OH 44685 Summit County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10H17107001 Facility Name: Comprehensive Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5137379999

IRRP: Emil Kirovski MD

Site Address: Last Routine Inspection Date: 03-26-2018 4182 Tonya Trail

Hamilton OH 45011 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H19963001 Facility Name: Comprehensive Vascular Centers LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4407994811

IRRP: Hany S Y Anton MD

Site Address: Last Routine Inspection Date: 09-25-2019 20455 Lorain Rd Ste T-01

Fairview Park OH 44126 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10J16467001 Facility Name: Comprehensive Womens Care Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6145835552

IRRP: Anita Somani MD

Site Address: Last Routine Inspection Date: 11-14-2018 3600 Olentangy River Rd Bldg A

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10J15806002 Facility Name: Craig L Bierer MD

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5135232663

IRRP: Heather Henry

Site Address: Last Routine Inspection Date: Independence Orthopedics & Sports 08-20-2020 Medicine 10 N Locust St Ste B-1

Oxford OH 45056 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H10433001 Facility Name: Crystal Arthritis Center Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3306684045

IRRP: Linda S Kundmueller RT(R)

Site Address: Last Routine Inspection Date: 09-09-2019 471 N Cleveland Massillon Rd

Akron OH 44333 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10F16309001 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3306684040

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Crystal Clinic Inc 01-28-2019 3975 & 3925 Embassy Pkwy

Akron OH 44333 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 5 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 4 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 12

Reg #: 10F16309005 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3306447436

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Green Office 07-06-2018 1622 E Turkeyfoot Lake Rd

Akron OH 44312 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E16309013 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 3307859356

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Akron Office 2383 S Main St

Akron OH 44319 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F16309003 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3306704111

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Barberton Office 02-04-2019 72 Fifth St SE Ste A

Barberton OH 44203 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H16309011 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3306704016

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: 10-30-2019 1 Eagle Valley Court

Broadview Heights OH 44147 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H16309012 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3306704020

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: 01-13-2020 4466 Fulton Ave NW

Canton OH 44718 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F16309004 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3309299136

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Falls Orthopaedic Surgeons 01-22-2019 437 Portage Trail

Cuyahoga Falls OH 44221 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10F16309008 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3304751631

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Hudson Office 12-16-2019 1310 Corporate Dr

Hudson OH 44236 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F16309002 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3306736299

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Summit Orthopaedic Group - Kent Office 04-01-2019 2007 St Rt 59

Kent OH 44240 Portage County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10F16309006 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3307218232

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Medina Office 12-13-2018 4975 Foote Rd Ste 100

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J16309010 Facility Name: Crystal Clinic Orthopaedic Center LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3303351586

IRRP: Nancy L Lawson RT(R)

Site Address: Last Routine Inspection Date: Wadsworth Office 01-28-2020 323 High St

Wadsworth OH 44281 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H00412002 Facility Name: CT @ Midtown

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5133513000

IRRP: Susan Mechler

Site Address: Last Routine Inspection Date: 06-05-2020 5400 Kennedy Ave

Cincinnati OH 45213 Hamilton County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10D01432001 Facility Name: D & I Associates

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4195242676

IRRP: Juan Penhos MD

Site Address: Last Routine Inspection Date: Get Well Center 09-27-2018 635 S Trimble Rd

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10L16548001 Facility Name: DABMD LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2163819000

IRRP: Daniel A Breitenbach MD

Site Address: Last Routine Inspection Date: MEDGroup 12-11-2019 13916 Cedar Rd

University Heights OH 44118 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10M07394001 Facility Name: David A Demangone MD

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4409441414

IRRP: David A Demangone MD

Site Address: Last Routine Inspection Date: Cleveland Back & Spine Institute 06-23-2020 6025 Commerce Cir

Willoughby OH 44094 Lake County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 3 4 Reg #: 10L09776001 Facility Name: David Lockshaw DO/Andrew Lockshaw III DO

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3307553233

IRRP: Andrew J Lockshaw III DO

Site Address: Last Routine Inspection Date: Manor Avenue Clinic Inc 08-20-2019 296 E Manor Ave

Struthers OH 44471 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E16947001 Facility Name: David M Burkons MD Inc

Type: Clinic Expiration Date: 03-31-2021 Facility Status: Active Registrant Phone: 2162972061

IRRP: David M Burkons MD

Site Address: Last Routine Inspection Date: 06-26-2018 1611 S Green Rd Ste 004

South Euclid OH 44121 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1

Reg #: 10F09816001 Facility Name: Dayton Arthritis & Allergy Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9372960015

IRRP: Michael W Stevens MD

Site Address: Last Routine Inspection Date: 09-30-2020 3075 Governors Place Blvd Ste 110

Dayton OH 45409 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10E20531001 Facility Name: Dayton Interventional Radiology LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 9374242580

IRRP: Granville Tengesdahl

Site Address: Last Routine Inspection Date: Azura Care 03-09-2021 3075 Governors Place Blvd Ste 120

Kettering OH 45409 Montgomery County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 1 1

Reg #: 10L06820001 Facility Name: Dayton Ortho Surgery & Sports Medicine

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9374365763

IRRP: Jonathan J Paley MD

Site Address: Last Routine Inspection Date: 10-08-2020 5491 Far Hills Ave

Dayton OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10M00425017 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9372263518

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Beavercreek Health Center 09-18-2018 2510 Common Blvd Ste 120

Beavercreek OH 45431 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10M00425021 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9375583820

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Sugarcreek Health Center 06-25-2020 6438 Wilmington Pike

Dayton OH 45459 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10D00425029 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9378989729

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Dayton Medical Imaging - National 05-28-2020 113 W National Rd

Dayton OH 45377 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10D00425030 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9374397420

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Cornerstone Medical Imaging 09-28-2020 7740 Washington Village Dr Ste 140

Dayton OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2

Reg #: 10G00425006 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9374634489

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Victor J Cassano Sr Community Health 08-22-2019 Center 165 Edwin C Moses Blvd

Dayton OH 45407 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D00425005 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9374568300

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Preble County Medical Center 12-20-2018 450 Washington Jackson Rd Ste L101

Eaton OH 45320 Preble County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Operating 1 7

Reg #: 10G00425026 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9378323300

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Englewood Family Health Center 01-04-2019 1250 W National Rd

Englewood OH 45322 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M00425023 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9375583320

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Huber Health Center 01-27-2020 8701 Old Troy Pike

Huber Heights OH 45424 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6

Reg #: 10C00425025 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5136961200

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Corwin M Nixon Health Center 10-19-2018 1470 N Broadway

Lebanon OH 45036 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Non-Operating 1 2

Reg #: 10D00425028 Facility Name: Dayton Osteopathic Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9373958818

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Kettering Health Network Warehouse 08-05-2021 4650 Springboro Pike

Moraine OH 45439 Montgomery County Reg #: 10J17881001 Facility Name: Dayton Outpatient Center Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9374242215

IRRP: Courtney Clement RT(R)(MR)(CT)

Site Address: Last Routine Inspection Date: 06-10-2020 1010 Woodman Dr

Dayton OH 45432 Montgomery County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1

Reg #: 10M08704002 Facility Name: Dayton Pain Center LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9372222233

IRRP: Indira Reddy

Site Address: Last Routine Inspection Date: 04-30-2018 1 Elizabeth Place Ste D

Dayton OH 45417 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3

Reg #: 10H10999001 Facility Name: Deca Health Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4196939459

IRRP: Nadeem N Moghal MD

Site Address: Last Routine Inspection Date: 04-15-2019 846 S Coy Rd

Oregon OH 43616 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10J10999002 Facility Name: Deca Health Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4198431370

IRRP: Nadeem N Moghal MD

Site Address: Last Routine Inspection Date: West Central Surgical Center 04-15-2020 7053 W Central Ave

Toledo OH 43617 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3

Reg #: 10H19973001 Facility Name: Dedicated Columbus Ohio LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 6147027655

IRRP: Paul C Hicks MD

Site Address: Last Routine Inspection Date: Dedicated Senior Medical Center Whitehall 10-02-2019 5156 E Main St

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H19973002 Facility Name: Dedicated Columbus Ohio LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 6147027899

IRRP: Paul C Hicks MD

Site Address: Last Routine Inspection Date: Dedicated Senior Medical Center Morse 10-02-2019 2260 Morse Rd

Columbus OH 43229 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J19973003 Facility Name: Dedicated Columbus Ohio LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6147027915

IRRP: Paul C Hicks MD

Site Address: Last Routine Inspection Date: Dedicated Senior Medical Center Wilson 12-11-2019 50 N Wilson Rd

Columbus OH 43204 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20346002 Facility Name: Dedicated Ohio Holding LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 7865700748

IRRP: Damien Cook

Site Address: Last Routine Inspection Date:

7642 Reading Rd

Cincinnati OH 45237 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B20346001 Facility Name: Dedicated Ohio Holding LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2168008020

IRRP: Paul C Hicks MD

Site Address: Last Routine Inspection Date: Dedicated Senior Medical Center 12-17-2020 15105 Saint Clair Ave

Cleveland OH 44110 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K01365001 Facility Name: Delphos Family Physicians Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4196921055

IRRP: Carl S Wehri MD

Site Address: Last Routine Inspection Date: 04-04-2019 1775 E 5th St

Delphos OH 45833-0458 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A07563001 Facility Name: Delta Projects Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5134893737

IRRP: Steve Lohre

Site Address: Last Routine Inspection Date: 07-22-2020 9549 Montgomery Rd Ste 100

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A20305001 Facility Name: Dialysis Access Center LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3306292855

IRRP: Nicole A Nicoloff RT(R)(M)(MR)

Site Address: Last Routine Inspection Date: 10-28-2020 8423 Market St Ste 210

Youngstown OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10L19444001 Facility Name: Dialysis Access Center of Cincinnati Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5136314555

IRRP: Barbara Wilson RT(R)

Site Address: Last Routine Inspection Date: 10-24-2018 4805 Montgomery Rd Ste 140

Cincinnati OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3

Reg #: 10C20400001 Facility Name: Doctor MD Now LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 5132396854

IRRP: Rajesh K Davit MD

Site Address: Last Routine Inspection Date: Doctor MD Now Urgent Care 12065 Montgomery Rd

Cincinnati OH 45249 Hamilton County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10G00538012 Facility Name: Doctors OhioHealth Corporation

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6145441930

IRRP: Christie Woodruff CRE

Site Address: Last Routine Inspection Date: Hobbs Oncology Center 03-04-2019 5200 W Broad St

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10E16006002 Facility Name: Doctors Urgent Care LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7404849394

IRRP: Vic Wood DO

Site Address: Last Routine Inspection Date: 03-02-2021 875 E Main St

Barnesville OH 43713 Belmont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B16006001 Facility Name: Doctors Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7406990940

IRRP: Vic Wood DO

Site Address: Last Routine Inspection Date: 02-08-2021 51342 National Rd

Saint Clairsville OH 43950 Belmont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J01464006 Facility Name: Doctors Urgent Care Offices Medical Group Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5137417044

IRRP: Ashley Mathis

Site Address: Last Routine Inspection Date: 04-23-2018 5920 Colerain Ave

Cincinnati OH 45239 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M01464005 Facility Name: Doctors Urgent Care Offices Medical Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9372783826

IRRP: Daniel Trejo

Site Address: Last Routine Inspection Date: 04-22-2021 5915 N Main St

Dayton OH 45415 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H01464009 Facility Name: Doctors Urgent Care Offices Medical Group Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 9378739500

IRRP: Sandra Carlesco RT(R)

Site Address: Last Routine Inspection Date: 05-30-2018 2131 Gateway Dr

Fairborn OH 45324 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M01464003 Facility Name: Doctors Urgent Care Offices Medical Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5134227703

IRRP: Kelli Oney

Site Address: Last Routine Inspection Date: 10-04-2018 3290 Village Dr

Franklin OH 45005 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M01464004 Facility Name: Doctors Urgent Care Offices Medical Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9372940066

IRRP: Rachel Moeggenberg

Site Address: Last Routine Inspection Date: 04-18-2019 3604 Wilmington Pike

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G01464010 Facility Name: Doctors Urgent Care Offices Medical Group Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5137704122

IRRP: Sandra Carlesco RT(R)

Site Address: Last Routine Inspection Date: 12-06-2019 4201 Aero Dr

Mason OH 45040 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M01464002 Facility Name: Doctors Urgent Care Offices Medical Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5138318555

IRRP: Kelli Bootes

Site Address: Last Routine Inspection Date: 10-28-2019 846 St Rt 28

Milford OH 45150 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M01464001 Facility Name: Doctors Urgent Care Offices Medical Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5136715050

IRRP: Amanda Cupp

Site Address: Last Routine Inspection Date: 10-18-2018 360 Glensprings Dr

Springdale OH 45246 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C16106001 Facility Name: Dr Adam G Crouch Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3307266010

IRRP: Adam G Crouch DO

Site Address: Last Routine Inspection Date: Diagnostic Medical X-ray & Imaging 03-22-2019 Progressive Womens Care 7600 Southern Blvd Ste1

Boardman OH 44512 Mahoning County

Reg #: 10C16106002 Facility Name: Dr Adam G Crouch Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3307266010

IRRP: Adam G Crouch DO

Site Address: Last Routine Inspection Date: Diagnostic Medical X-ray & Imaging 09-12-2018 8390 Tod Ave

Youngstown OH 44513 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10H18496001 Facility Name: Dr Melissa Gargasz Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 5138554336

IRRP: Melissa Gargasz MD

Site Address: Last Routine Inspection Date: Waynesville Urgent Care 12-19-2018 4353 E St Rt 73 Ste 150

Waynesville OH 45068 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F10068001 Facility Name: Drs Brahms, Cohn & Leb Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 2168317855

IRRP: Bruce T Cohn MD

Site Address: Last Routine Inspection Date: 04-22-2021 23250 Mercantile Rd Ste 100A

Beachwood OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10B01546001 Facility Name: Drs Catherine E Molloy & Melinda K Smith

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3306299949

IRRP: Melinda K Smith MD

Site Address: Last Routine Inspection Date: 07-18-2019 800 E Western Reserve Rd

Poland OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10E16238001 Facility Name: Dublin Pain Clinic LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6148511400

IRRP: Saud Siddiqui MD

Site Address: Last Routine Inspection Date: 07-01-2020 440 Industrial Mile Rd

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10L16575001 Facility Name: Dublin Surgery Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6149329548

IRRP: Melissa Coffee RT(R)

Site Address: Last Routine Inspection Date: 10-18-2019 5005 Parkcenter Ave

Dublin OH 43017 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 2

Reg #: 10M11329001 Facility Name: Ear Nose & Throat of Springfield Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9373258796

IRRP: Renee A Salyers

Site Address: Last Routine Inspection Date: 11-21-2018 435 S Burnett Rd

Springfield OH 45505 Clark County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10E20508001 Facility Name: Early Detection Imaging LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 4198603623

IRRP: Kay Preston RT(R)(M)

Site Address: Last Routine Inspection Date: Early Detection Imaging at Van Wert Family Phys 1178 Professional Dr

Van Wert OH 45891 Van Wert County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 2 2

Reg #: 10M10912001 Facility Name: East Side Occupational Health Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2164310927

IRRP: Thomas Markham MD

Site Address: Last Routine Inspection Date: 07-02-2018 4450 Saint Clair Ave

Cleveland OH 44103-1186 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M01990001 Facility Name: Eastern Ohio Pulmonary Consultants Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3307263357

IRRP: Lawrence Goldstein MD

Site Address: Last Routine Inspection Date: 11-06-2018 960 Windham Ct Ste 1

Youngstown OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E20491001 Facility Name: Eastside Medical Group

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 2167518988

IRRP: Lauchlin W McKeigan DC

Site Address: Last Routine Inspection Date: 07-21-2021 2775 S Moreland Blvd

Cleveland OH 44120 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17218001 Facility Name: Eastside Primary Care LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4409464070

IRRP: Jean B Lenk MD

Site Address: Last Routine Inspection Date: 08-23-2018 36100 Euclid Ave Ste 430

Willoughby OH 44094 Lake County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10G15551001 Facility Name: Eastwind Surgical LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6145454400

IRRP: Sarah McNeal RT(R)

Site Address: Last Routine Inspection Date: 06-17-2020 955 Eastwind Dr Ste 150

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10L20170001 Facility Name: Elite Integrated Medical of Ohio

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6146955060

IRRP: Emma Cull

Site Address: Last Routine Inspection Date: Fite Health and Wellness Center 11-30-2020 957 E Johnstown Rd

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10B19582001 Facility Name: Elite Physical Medicine and Rehabilitation LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 8593224702

IRRP: David Segraves

Site Address: Last Routine Inspection Date: 11-13-2018 6213 Snider Rd Ste A

Mason OH 45040 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F00755002 Facility Name: Endocrine & Diabetes Care Center Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4195375111

IRRP: Guillermo Guardia MD

Site Address: Last Routine Inspection Date: 06-11-2020 2100 W Central Ave Ste 100

Toledo OH 43606 Lucas County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10F18913016 Facility Name: Equitas Health Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6143406700

IRRP: Tonya Johnson RN

Site Address: Last Routine Inspection Date: 08-18-2020 750 E Long St Ste 3000

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 5

Reg #: 10C18913015 Facility Name: Equitas Health Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9378533650

IRRP: Tonya Johnson

Site Address: Last Routine Inspection Date: 11-12-2020 1222 S Patterson Blvd Ste 230

Dayton OH 45402 Montgomery County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 5

Reg #: 10H19969001 Facility Name: Erie Shores Surgery Center LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4196278557

IRRP: Fredric H Itzkowitz DO

Site Address: Last Routine Inspection Date: 01-07-2020 2800 Hayes Ave Bldg E

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 2 2 Reg #: 10E03090001 Facility Name: Erieside Medical Group Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4409186292

IRRP: Winston Ho MD

Site Address: Last Routine Inspection Date: 08-19-2020 38429 Lakeshore Blvd

Willoughby OH 44094 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D16852001 Facility Name: Excel Solutions LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6144366009

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Excel Urgent Care - Columbus 01-09-2020 5801 Tamarack Blvd

Columbus OH 43229 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10B20320001 Facility Name: Executive Imaging LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7407516828

IRRP: Michelle Cudd RT(R)(M)

Site Address: Last Routine Inspection Date: Cammie Ballenger 10-26-2020 1069 Delaware Ave Ste 104B

Marion OH 43302 Marion County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10A16673001 Facility Name: Eye Bone LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4402852900

IRRP: Julie Carr

Site Address: Last Routine Inspection Date: Chardon Surgery Center 06-08-2020 150 Seventh Ave

Chardon OH 44024 Geauga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 2

Reg #: 10L17973001 Facility Name: Eyes on Stark Surgery Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3305260530

IRRP: Sherri Anderson RN

Site Address: Last Routine Inspection Date: Vista Surgical Center 04-21-2021 4319 Executive Cir NW

Canton OH 44718 Stark County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Operating 1 1

Reg #: 10E01141015 Facility Name: Fairfield Medical Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7406812700

IRRP: William B Mitchell MD

Site Address: Last Routine Inspection Date: River View Surgery Center 08-03-2020 2401 N Columbus St

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 4 Reg #: 10J01141016 Facility Name: Fairfield Medical Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7406546312

IRRP: William B Mitchell MD

Site Address: Last Routine Inspection Date: 09-21-2018 1241 River Valley Blvd

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E01141018 Facility Name: Fairfield Medical Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7406878131

IRRP: William B Mitchell MD

Site Address: Last Routine Inspection Date: River Valley Campus 09-25-2019 2384 N Memorial Dr

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 2 9

Reg #: 10D01141010 Facility Name: Fairfield Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7406878441

IRRP: William B Mitchell MD

Site Address: Last Routine Inspection Date: Diagnostic Health Services Inc 05-04-2018 1159 E Main St

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B01141009 Facility Name: Fairfield Medical Center

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7406878910

IRRP: William B Mitchell MD

Site Address: Last Routine Inspection Date: Diagnostic Health Services Inc 02-17-2021 12135 Lancaster St

Millersport OH 43046 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C03829001 Facility Name: Fairfield Pain Management Center Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6148331700

IRRP: Martin J Andrews MD

Site Address: Last Routine Inspection Date: Pain Care Center 12-18-2020 7901 Diley Rd Ste 130

Canal Winchester OH 43110 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10L01261008 Facility Name: Fairview Hospital

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2164767838

IRRP: Eric Tischler MS DABR

Site Address: Last Routine Inspection Date: Moll Cancer Center 07-21-2020 18200 Lorain Ave

Cleveland OH 44111 Cuyahoga County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 5 Reg #: 10M01261011 Facility Name: Fairview Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4408711063

IRRP: Frank J Ricaurte MD

Site Address: Last Routine Inspection Date: Westlake Womens Radiology 08-10-2020 850 Columbia Rd

Westlake OH 441451478 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 8

Reg #: 10M16591007 Facility Name: Family Health Services of Darke County

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9375483806

IRRP: Carlos Menendez MD

Site Address: Last Routine Inspection Date: 11-13-2019 5735 Meeker Rd

Greenville OH 45331 Darke County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 7 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Operating 1 9 Reg #: 10G01160001 Facility Name: Family Medical Management Services Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3308648898

IRRP: Vernon J Hershberger MD

Site Address: Last Routine Inspection Date: Family Medical Radiology 08-21-2018 880 Mull Ave Ste 100

Akron OH 443137512 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10K00694002 Facility Name: Family Physicians Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3304947099

IRRP: Melissa Rieger RT(R)

Site Address: Last Routine Inspection Date: 12-23-2019 4860 Frank Ave NW

Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10K01347001 Facility Name: Family Practice Associates

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3308323188

IRRP: Eugene D Pogorelec DO

Site Address: Last Routine Inspection Date: 03-18-2019 2300 Wales Rd NW

Massillon OH 44646 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10A15115001 Facility Name: Family Practice Center of Salem Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3303329961

IRRP: Richard L Fawcett MD

Site Address: Last Routine Inspection Date: 12-24-2019 2370 Southeast Blvd

Salem OH 44460 Columbiana County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10H17924003 Facility Name: Family Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6149409431

IRRP: Syed A Naqvi MD

Site Address: Last Routine Inspection Date: 05-17-2021 1860 S Main St

Bellefontaine OH 43311 Logan County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10K17924001 Facility Name: Family Urgent Care LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7407725050

IRRP: Syed Naqvi MD

Site Address: Last Routine Inspection Date: 06-14-2017 879 N Bridge St

Chillicothe OH 45601 Ross County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E17924002 Facility Name: Family Urgent Care LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7407888166

IRRP: Syed A Naqvi MD

Site Address: Last Routine Inspection Date: 08-27-2018 607 Hebron Rd

Heath OH 43056 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A20287001 Facility Name: Findlay Surgery Center Ltd

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4194290409

IRRP: Eric V Bostick MD

Site Address: Last Routine Inspection Date: 10-07-2020 1709 Medical Blvd

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10J00952013 Facility Name: Firelands Regional Medical Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4195577400

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 01-07-2020 1470 W McPherson Hwy

Clyde OH 43410 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F00952015 Facility Name: Firelands Regional Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4195577648

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 08-10-2020 3960 E Harbor Rd

Port Clinton OH 43452 Ottawa County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F00952012 Facility Name: Firelands Regional Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant that has moved Phone: 4409671128

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 08-09-2019 2801 Cleveland Rd

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10M00952014 Facility Name: Firelands Regional Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4195577400

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 08-08-2019 2500 W Strub Rd & additional locations

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 4 Reg #: 10D00952005 Facility Name: Firelands Regional Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4195577400

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 02-14-2019 5420 Milan Rd

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J02221002 Facility Name: Firestone Healthcare Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3305374661

IRRP: Jeffrey R Cohen DO

Site Address: Last Routine Inspection Date: 07-30-2019 28885 St Rt 62

Damascus OH 44619 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K02221001 Facility Name: Firestone Healthcare Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3304269484

IRRP: Jeffrey R Cohen DO

Site Address: Last Routine Inspection Date: 11-19-2019 132 N Market St

East Palestine OH 44413-0429 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10B07310002 Facility Name: First Settlement Orthopaedics Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7403738756

IRRP: Libby Watson RT(R)

Site Address: Last Routine Inspection Date: 03-31-2021 2434 Rich Miller Ln Ste A

Belpre OH 45714 Washington County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10L07310001 Facility Name: First Settlement Orthopaedics Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7403738756

IRRP: Libby Watson RT(R)

Site Address: Last Routine Inspection Date: 03-22-2021 611 Second St

Marietta OH 457502183 Washington County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G17044001 Facility Name: Five Rivers Health Centers

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9372086190

IRRP: Sherry Wilcoxson

Site Address: Last Routine Inspection Date: 11-16-2020 30 Apple St Ground Floor

Dayton OH 45409 Montgomery County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 11 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Operating 2 14 Reg #: 10H17044002 Facility Name: Five Rivers Health Centers

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 9374611376

IRRP: Sherry Wilcoxson

Site Address: Last Routine Inspection Date: Samaritan Homeless Clinic 01-14-2019 921 Edwin C Moses Blvd

Dayton OH 45417 Montgomery County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3

Reg #: 10K17044005 Facility Name: Five Rivers Health Centers

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9374611376

IRRP: Sherry Wilcoxson

Site Address: Last Routine Inspection Date: 02-07-2020 1923 W Third St

Dayton OH 45417 Montgomery County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 4

Reg #: 10K17044004 Facility Name: Five Rivers Health Centers

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9379604050

IRRP: Sherry Wilcoxson

Site Address: Last Routine Inspection Date: 02-13-2020 3594 N Snyder Rd

Trotwood OH 45426 Montgomery County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3 Reg #: 10A17044003 Facility Name: Five Rivers Health Centers

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9377083421

IRRP: Sherry Wilcoxson

Site Address: Last Routine Inspection Date: 08-31-2018 360 Wilson Dr

Xenia OH 45385 Greene County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3

Reg #: 10C05517008 Facility Name: Fostoria Hospital Association

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4194366861

IRRP: Kerry Krugh PhD

Site Address: Last Routine Inspection Date: ProMedica Medical Center 01-21-2021 455 W Fourth St

Fostoria OH 44830 Seneca County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J10138003 Facility Name: Free Medical Clinic of Greater Cleveland

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 2167214010

IRRP: Regina L Savage DDS

Site Address: Last Routine Inspection Date: 07-28-2020 12201 Euclid Ave

Cleveland OH 44106 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 1 D2 Panoral (only) Operating 3 4 Reg #: 10E19063001 Facility Name: Fresenius Vascular Care Cincinnati LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5133512494

IRRP: Robert Taylor RT(R)

Site Address: Last Routine Inspection Date: Azura Vascular Care 01-07-2021 4600 Smith Rd Ste A4

Norwood OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10E00933008 Facility Name: Fulton County Health Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4193352663

IRRP: Kristen Ayers-Crossgrove

Site Address: Last Routine Inspection Date: West Ohio Orthopedics 01-02-2019 735 S Shoop Ave

Wauseon OH 43567 Fulton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A00568013 Facility Name: Galion Community Hospital

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4194680773

IRRP: Roger Bevelhymer RT(R)

Site Address: Last Routine Inspection Date: Avita Bellville 10-29-2018 987 St Rt 97 W

Bellville OH 44813 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K00568007 Facility Name: Galion Community Hospital

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4194687059

IRRP: Roger Bevelhymer RT(R)

Site Address: Last Routine Inspection Date: Avita Health Services Orthopedic Center 08-21-2020 955 Hosford Rd

Galion OH 44833 Crawford County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A00568004 Facility Name: Galion Community Hospital

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4194688227

IRRP: Roger Bevelhymer RT(R)

Site Address: Last Routine Inspection Date: Avita Mammography Center 01-22-2021 1200 St Rt 598

Galion OH 44833 Crawford County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10H00568011 Facility Name: Galion Community Hospital

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4194680773

IRRP: Roger Bevelhymer RT(R)

Site Address: Last Routine Inspection Date: Avita Walk-in Clinic 11-17-2020 2007 W Fourth St

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F00568010 Facility Name: Galion Community Hospital

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4194680773

IRRP: Roger Bevelhymer RT(R)

Site Address: Last Routine Inspection Date: Avita Health System/Ontario Family Practice 05-20-2021 715 Richland Mall

Ontario OH 44906 Crawford County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10H16863004 Facility Name: General Motors LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4197847296

IRRP: Paul Eby MD

Site Address: Last Routine Inspection Date: General Motors Defiance CETC 10-10-2018 26427 St Rt 281 E

Defiance OH 43512 Defiance County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E10725005 Facility Name: Genesis HealthCare System

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7404321034

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Genesis Health Center Cambridge 04-10-2019 61353 Southgate Pkwy Ste 4

Cambridge OH 43725 Guernsey County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G10725015 Facility Name: Genesis Healthcare System

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 7409600280

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Genesis Imaging Malta 10-08-2019 859 N Main St Ste 146

Malta OH 43758 Morgan County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E10725006 Facility Name: Genesis HealthCare System

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7408267176

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Genesis Health Center New Concord 12-06-2018 1 E Main St

New Concord OH 43762 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B10725012 Facility Name: Genesis HealthCare System

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7407433800

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Genesis Health Center Perry County 11-29-2018 301 Dr Mike Clouse Dr

Somerset OH 43783 Perry County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 4 Reg #: 10C10725009 Facility Name: Genesis HealthCare System

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7405866780

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Genesis First Care South 05-07-2019 23 N Maysville Ave

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J10725013 Facility Name: Genesis HealthCare System

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7405866500

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: 02-26-2019 2800 Maple Ave

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 3 8 Reg #: 10B10725014 Facility Name: Genesis HealthCare System

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7404556300

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Genesis Surgery Center 02-24-2021 2907 Bell St

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M2 Radiographic Mobile Operating 1 5

Reg #: 10E10725016 Facility Name: Genesis Healthcare System

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 7404545591

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date:

915 Putnam Ave Ste 2

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B16635003 Facility Name: Genesis Medical Group LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7405866828

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Genesis Occupational Health 10-18-2018 955 Bethesda Dr - Garden Level Ste D

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 2 Reg #: 10B16635005 Facility Name: Genesis Medical Group LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7405866828

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: Genesis Medical Group Sports Medicine 11-15-2018 950 Bethesda Dr Bldg 5

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M16635006 Facility Name: Genesis Medical Group LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7404503294

IRRP: Michael Slone MBA RT(R)(CT)

Site Address: Last Routine Inspection Date: 08-04-2020 3777 James Ct

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 2 M1 Radiographic (Stationary) Operating 1 3

Reg #: 10F19098001 Facility Name: Georgetown MHP LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5137160365

IRRP: Neil Cotter

Site Address: Last Routine Inspection Date: 07-08-2019 425 Home St

Georgetown OH 45121 Brown County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 4 M7 Fluoroscopic: Under Table Non-Operating 2 6 Reg #: 10M03640002 Facility Name: Good Neighbor House

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9372243003

IRRP: Michelle Collier

Site Address: Last Routine Inspection Date: 12-05-2019 627 E First St

Dayton OH 45402-2623 Montgomery County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3

Reg #: 10E17638001 Facility Name: Good Samaritan Hospital Free Clinic

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5132466888

IRRP: Linda Smith Berry

Site Address: Last Routine Inspection Date: 07-23-2019 3727 St Lawrence

Cincinnati OH 45205 Hamilton County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3 Reg #: 10A02035012 Facility Name: Good Samaritan Hospital of Cincinnati Ohio, The

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5138622611

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: Good Samaritan Medical Center Western 06-18-2019 Ridge 6949 Good Samaritan Dr

Cincinnati OH 45247 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 8

Reg #: 10F02035014 Facility Name: Good Samaritan Hospital of Cincinnati Ohio, The

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5133461021

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TriHealth Anderson 09-24-2019 7777 Beechmont Ave

Cincinnati OH 45255 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10B02035018 Facility Name: Good Samaritan Hospital of Cincinnati Ohio, The

Type: Clinic Expiration Date: 09-30-2022 Facility Status: New Application Phone: 5135916200

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: Good Samaritan Surgery Center West 3660 Edgewood Dr

Cincinnati OH 45211 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 2

Reg #: 10B02035019 Facility Name: Good Samaritan Hospital of Cincinnati Ohio, The

Type: Clinic Expiration Date: 09-30-2022 Facility Status: New Application Phone: 5139617740

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: Good Samaritan Hand Surgery Center 538 Oak St Ste 100

Cincinnati OH 45219 Hamilton County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Operating 3 3

Reg #: 10D02035007 Facility Name: Good Samaritan Hospital of Cincinnati Ohio, The

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5138625701

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: Good Samaritan Outpatient Center 03-11-2020 6350 Glenway Ave Ste 101

Cincinnati OH 45211 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 4 Reg #: 10J02035016 Facility Name: Good Samaritan Hospital of Cincinnati Ohio, The

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5138531300

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: Good Samaritan Butler County Radiation 01-24-2020 Oncology 3035 Hamilton Mason Rd Ste 102

Hamilton OH 45011 Butler County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10B19890002 Facility Name: Grace Clinics of Ohio Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: New Application Phone: 6143013375

IRRP: Bradley J Fulton DDS

Site Address: Last Routine Inspection Date: Grace Clinics - Hardin 03-23-2021 2052 Cleveland Ave

Columbus OH 43211 Franklin County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 1 1

Reg #: 10F19890001 Facility Name: Grace Clinics of Ohio Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 7408166955

IRRP: Susan K Murphy-Moberger DDS

Site Address: Last Routine Inspection Date: Grace Clinics of Delaware 04-22-2020 40 S Franklin St

Delaware OH 43015 Delaware County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 1 D2 Panoral (only) Operating 1 2 Reg #: 10M07270003 Facility Name: Grandview Family Practice Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6144887929

IRRP: Anshuman R Swain MD

Site Address: Last Routine Inspection Date: 09-25-2018 1550 W 5th Ave Ste 100

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10B15137001 Facility Name: Greater Dayton Surgery Center LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9375352200

IRRP: Norbert Mertzman

Site Address: Last Routine Inspection Date: 11-26-2018 1625 Delco Pk Dr

Dayton OH 45420 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 3

Reg #: 10K16515001 Facility Name: Greater Dayton Vascular Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9372986777

IRRP: Ryan Lynd

Site Address: Last Routine Inspection Date: 05-22-2019 2016 Springboro W

Moraine OH 45439 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10E17006005 Facility Name: Greater Toledo Urgent Cares LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4195170146

IRRP: Walid M Mahmoud MD

Site Address: Last Routine Inspection Date: Rossford Urgent Care 04-26-2019 928 Dixie Hwy

Rossford OH 43460 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G17006001 Facility Name: Greater Toledo Urgent Cares LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4195170146

IRRP: Walid M Mahmoud MD

Site Address: Last Routine Inspection Date: 12-21-2020 4405 N Holland Sylvania Rd Ste 101

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17006002 Facility Name: Greater Toledo Urgent Cares LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4195170146

IRRP: Walid M Mahmoud MD

Site Address: Last Routine Inspection Date: Toledo Urgent Care 02-01-2019 505 N Reynolds Rd

Toledo OH 43615 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J17006004 Facility Name: Greater Toledo Urgent Cares LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4195170146

IRRP: Walid M Mahmoud MD

Site Address: Last Routine Inspection Date: South Toledo Urgent Care 04-26-2021 3626 S Detroit Ave

Toledo OH 43614 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H17006006 Facility Name: Greater Toledo Urgent Cares LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4192140790

IRRP: Walid M Mahmoud MD

Site Address: Last Routine Inspection Date: 08-10-2021 2627 Tremainsville Rd

Toledo OH 43613 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G17006003 Facility Name: Greater Toledo Urgent Cares LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4195170146

IRRP: Walid M Mahmoud MD

Site Address: Last Routine Inspection Date: 12-09-2020 7224 Dutch Rd Ste 100

Waterville OH 43566 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G19182001 Facility Name: Greater Tomorrow Health LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9373831040

IRRP: Carrie Fairchild

Site Address: Last Routine Inspection Date: 01-12-2018 2107 Rombach Ave

Wilmington OH 45177 Clinton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M05006015 Facility Name: Greene Memorial Hospital Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9374584410

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: 10-10-2019 1045 Channingway Dr

Fairborn OH 45324 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A05006019 Facility Name: Greene Memorial Hospital Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9373958818

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Jamestown Health Center 11-23-2020 4790 Cottonville Rd Ste 100

Jamestown OH 45335 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H05006012 Facility Name: Greene Memorial Hospital Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 9373522070

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: 09-17-2018 50 N Progress Dr

Xenia OH 45385 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H00514007 Facility Name: H B Magruder Memorial Hospital OHMC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 4197328837

IRRP: Gary Kresge MD

Site Address: Last Routine Inspection Date: H B Magruder Hospital Orthopedic Clinic 12-14-2018 611 Fulton St Ste G

Port Clinton OH 43452 Ottawa County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J05260001 Facility Name: Hand & Microsurgery Associates Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6142624263

IRRP: Raymond Kobus MD

Site Address: Last Routine Inspection Date: 07-12-2021 1210 Gemini Place Ste 200

Columbus OH 43240 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10L17298001 Facility Name: Hand Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6143107373

IRRP: Joshua Johnson DABR

Site Address: Last Routine Inspection Date: 07-12-2021 1210 Gemini Place Ste 111

Columbus OH 43240 Franklin County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Operating 2 2

Reg #: 10F10047001 Facility Name: Hartville Internal Medicine PA

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3304880767

IRRP: Amin Y Khalil MD

Site Address: Last Routine Inspection Date: East Canton Medical Group 06-04-2020 113 Cedar St S

East Canton OH 44730 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10D10047002 Facility Name: Hartville Internal Medicine PA

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3308779388

IRRP: Amin Y Khalil MD

Site Address: Last Routine Inspection Date: 01-08-2021 855 W Maple St Ste 130

Hartville OH 44632 Stark County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1 Reg #: 10L10047003 Facility Name: Hartville Internal Medicine PA

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3308684184

IRRP: Amin Y Khalil MD

Site Address: Last Routine Inspection Date: Minerva Medical Center 06-16-2020 200 Carolyn Ct

Minerva OH 44657 Carroll County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10J19313001 Facility Name: Hayden Run Internal Medicine

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant that has moved Phone: 6144379002

IRRP: Shawn C Bailey MD

Site Address: Last Routine Inspection Date: Grandview Primary Care 03-29-2021 833 Grandview Ave

Columbus OH 43215 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 2 3

Reg #: 10F18183002 Facility Name: Health Express Urgent Care Centers LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4403688818

IRRP: Abdallah Ali MD

Site Address: Last Routine Inspection Date: 07-14-2021 445 Avon-Belden Rd Unit B4

Avon Lake OH 44012 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C18183003 Facility Name: Health Express Urgent Care Centers LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4402699934

IRRP: Abdallah Ali MD

Site Address: Last Routine Inspection Date: 04-02-2019 6092 Mayfield Rd

Mayfield Heights OH 44124 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E18183004 Facility Name: Health Express Urgent Care Centers LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4404624677

IRRP: Abdallah Ali MD

Site Address: Last Routine Inspection Date: 06-04-2019 34160 Center Ridge Rd

North Ridgeville OH 44039 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B18183001 Facility Name: Health Express Urgent Care Centers LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4408826595

IRRP: Abdallah Ali MD

Site Address: Last Routine Inspection Date: 05-12-2021 1400 W Pleasant Valley Rd

Parma OH 44134 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F04225001 Facility Name: Health Partners Ltd

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9376420298

IRRP: Mary Beth Botkins

Site Address: Last Routine Inspection Date: 07-21-2020 19900 St Rt 739

Marysville OH 43040 Union County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K11109009 Facility Name: Health Partners of Western Ohio

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4195721032

IRRP: Pedro Hernandez

Site Address: Last Routine Inspection Date: Bryan Community Health Center 03-07-2019 228 S Main St

Bryan OH 43506 Williams County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 5

Reg #: 10A11109006 Facility Name: Health Partners of Western Ohio

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4196795994

IRRP: Pedro Hernandez

Site Address: Last Routine Inspection Date: Kenton Community Health Center 08-27-2020 111 W Espy St

Kenton OH 43326 Hardin County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 6 D2 Panoral (only) Operating 1 7 Reg #: 10K11109001 Facility Name: Health Partners of Western Ohio

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4192213072

IRRP: Pedro Hernandez

Site Address: Last Routine Inspection Date: Allen County Health Partners 01-07-2020 441 E 8th St

Lima OH 45801 Allen County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 D1 Intraoral Operating 9 D2 Panoral (only) Operating 1 11

Reg #: 10B11109005 Facility Name: Health Partners of Western Ohio

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9376671122

IRRP: Pedro Hernandez

Site Address: Last Routine Inspection Date: New Carlisle Community Health Center 02-27-2020 106 N Main St

New Carlisle OH 45344 Clark County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 5

Reg #: 10F11109010 Facility Name: Health Partners of Western Ohio

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4194558140

IRRP: Pedro Hernandez

Site Address: Last Routine Inspection Date: 02-12-2020 1344 Seneca Ave

Tiffin OH 44883 Seneca County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4 Reg #: 10K11109011 Facility Name: Health Partners of Western Ohio

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5672394562

IRRP: Pedro Hernandez

Site Address: Last Routine Inspection Date: East Toledo Community Health Center 10-01-2020 2020 Starr Ave

Toledo OH 43605 Lucas County

Tubes Tube Code Description Status Quantity D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 2 3

Reg #: 10H19977001 Facility Name: Healthcare Media

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5133420030

IRRP: Kenneth Lamont Smith MD

Site Address: Last Routine Inspection Date: Active Life Health of Cincinnati 12-05-2019 8251 Pine Rd Ste 205

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 2

Reg #: 10A18116001 Facility Name: HealthServe Medical Group LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6143837660

IRRP: Zohar Richman GXMO MA

Site Address: Last Routine Inspection Date: ExpressMed 11-12-2020 445 Rocky Fork Blvd

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20366001 Facility Name: Healthstat Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9377010099

IRRP: Mary Bernhard RT(R)

Site Address: Last Routine Inspection Date: City of Dayton Offsite Clinic 11-04-2020 1222 S Patterson Blvd Ste 120

Dayton OH 45402 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A04294001 Facility Name: Hergenroeder Orthopedic Clinic

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4402472644

IRRP: Patrick T Hergenroeder MD

Site Address: Last Routine Inspection Date: 03-26-2020 34 W Washington St

Chagrin Falls OH 44022 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J04294003 Facility Name: Hergenroeder Orthopedic Clinic

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4404666333

IRRP: Patrick T Hergenroeder MD

Site Address: Last Routine Inspection Date: 06-04-2020 96 S Broadway

Geneva OH 44041 Ashtabula County

Tubes Tube Code Description Status Quantity E70 Tube Only Non-Operating 1 M1 Radiographic (Stationary) Operating 1 2 Reg #: 10F19832001 Facility Name: Highland Health Providers Corp

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9374025491

IRRP: Tammy Hitt RT(R)

Site Address: Last Routine Inspection Date: Rocky Fork Medical Center 06-13-2019 11130 N Shore Dr

Hillsboro OH 45133 Highland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H16376001 Facility Name: Hilliard Station Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 6148762100

IRRP: Hollie Beight RT

Site Address: Last Routine Inspection Date: ExpressMed Urgent Care 04-09-2019 5263 Nike Station Way

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 2

Reg #: 10L16556001 Facility Name: Hilltop Ambulatory Surgery Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2169230666

IRRP: Rodney A Green MD

Site Address: Last Routine Inspection Date: Legacy Surgery Center 03-23-2020 5035 Mayfield Rd Ste 100

Lyndhurst OH 44124 Cuyahoga County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Operating 1 1 Reg #: 10K04441001 Facility Name: Hilltop Physicians Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5136816667

IRRP: James I Fidelholtz MD

Site Address: Last Routine Inspection Date: 05-10-2021 6103 Hamilton Ave

Cincinnati OH 45224 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Non-Operating 1 2

Reg #: 10F00337019 Facility Name: Holzer Clinic LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 7408869370

IRRP: Ted Adams

Site Address: Last Routine Inspection Date: Holzer @ Lawrence County 09-26-2017 98 State St

Proctorville OH 45669 Lawrence County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C00337015 Facility Name: Holzer Clinic LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7402884625

IRRP: Christopher Thomas

Site Address: Last Routine Inspection Date: Jenkins Memorial Health Clinic 11-26-2019 140 Jenkins Memorial Rd

Wellston OH 45692 Jackson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M00949036 Facility Name: Holzer Hospital Foundatiom

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7409920060

IRRP: Ted Adams

Site Address: Last Routine Inspection Date: Holzer Medical Center - Meigs Clinic 06-30-2021 88 Memorial Dr

Pomeroy OH 45769 Meigs County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10B00949028 Facility Name: Holzer Hospital Foundation

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7403958808

IRRP: Christopher Thomas

Site Address: Last Routine Inspection Date: Holzer Medical Center - Athens Clinic 08-01-2019 2131 E State St

Athens OH 45701 Athens County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Operating 1 7 Reg #: 10K00949034 Facility Name: Holzer Hospital Foundation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7404465000

IRRP: Ted Adams

Site Address: Last Routine Inspection Date: 09-08-2020 1051 4th Ave

Gallipolis OH 45631 Gallia County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10A00949026 Facility Name: Holzer Hospital Foundation

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 7403958751

IRRP: Christopher Thomas

Site Address: Last Routine Inspection Date: Holzer Medical Center - Jackson Clinic 08-02-2019 280 Pattonsville Rd

Jackson OH 45640 Jackson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 M6 Stereotactic Biopsy Operating 1 M7 Fluoroscopic: Under Table Operating 1 7 Reg #: 10C00949038 Facility Name: Holzer Hospital Foundation

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7409924828

IRRP: Ted Adams

Site Address: Last Routine Inspection Date: 10-02-2018 41861 Pomeroy Pike

Pomeroy OH 40291 Meigs County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10H17788001 Facility Name: Hope Clinic of Ross County Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7407726676

IRRP: Carrie North RN BSN

Site Address: Last Routine Inspection Date: 05-19-2021 622 Central Center

Chillicothe OH 45601 Ross County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3

Reg #: 10G18463001 Facility Name: Hope Wellness Center LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6148824411

IRRP: Sunil Nayyar MD

Site Address: Last Routine Inspection Date: 10-31-2018 387 County Line Rd W Ste 225

Westerville OH 43082 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D01323027 Facility Name: Hopewell Health Centers Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7404465500

IRRP: Alaina Himes

Site Address: Last Routine Inspection Date: 07-14-2021 3086 St Rt 160

Gallipolis OH 45631 Gallia County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4

Reg #: 10E01323009 Facility Name: Hopewell Health Centers Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7405965249

IRRP: Alaina Himes

Site Address: Last Routine Inspection Date: 06-16-2021 31891 St Rt 93 N

McArthur OH 45651 Vinton County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 5

Reg #: 10E01323026 Facility Name: Hopewell Health Centers Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7407734366

IRRP: Alaina Himes

Site Address: Last Routine Inspection Date: 06-10-2019 1950 Mt St Mary Dr

Nelsonville OH 45764 Athens County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 12 D6 Dental CT Operating 1 13 Reg #: 10H01323025 Facility Name: Hopewell Health Centers Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7403424192

IRRP: Alaina Himes

Site Address: Last Routine Inspection Date: 01-06-2021 2541 Panther Dr

New Lexington OH 43764 Perry County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4

Reg #: 10L01323018 Facility Name: Hopewell Health Centers Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7409925323

IRRP: Alaina Himes

Site Address: Last Routine Inspection Date: 04-24-2019 41865 Pomeroy Pike

Pomeroy OH 45769 Meigs County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 5

Reg #: 10C20402001 Facility Name: Imaging Support Services Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5137538000

IRRP: Thomas A Predey MD

Site Address: Last Routine Inspection Date: Affordable Medical Imaging 07-06-2021 4424 Aicholtz Rd Ste D

Cincinnati OH 45245 Clermont County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10J17246004 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4199030404

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Ashland 05-18-2020 1016 Sugarbush Dr

Ashland OH 44907 Ashland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B17246015 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7409144178

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Avon 11-04-2019 36000 Detroit Rd Ste 200

Avon OH 44011 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G17246021 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 6146048805

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Blacklick 65 N Waggoner Rd

Blacklick OH 43004 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F17246003 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4198064222

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Bowling Green 08-30-2019 1107 S Main St

Bowling Green OH 43402 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J17246020 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4404573073

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Broadview Heights 03-11-2020 1055 W Royalton Rd

Broadview Heights OH 44147 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17246018 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7409144178

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Brunswick 08-25-2021 3439 Center Rd

Brunswick OH 44212 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C17246011 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7407516858

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Canton 02-28-2019 4135 W Tuscarawas

Canton OH 44708 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G17246012 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 7409144178

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Columbus High 03-14-2019 5059 N High St

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H17246016 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7409141417

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Columbus Broad 05-20-2021 4832 W Broad St

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C17246010 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7409144178

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Elyria 12-26-2019 525 Chestnut Commons Dr

Elyria OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A17246014 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 7409144178

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Fairview Park 06-11-2020 3530 Westgate Ste D432

Fairview Park OH 44123 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J17246005 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4193558343

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Fremont 01-03-2020 2180 Sean Dr Ste 6

Fremont OH 43420 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B17246009 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4404440497

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Lorain 01-19-2021 4340 Leavitt Rd

Lorain OH 44053 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F17246002 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4197757807

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Mansfield 09-16-2019 1341 S Trimble Rd

Mansfield OH 44907 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F17246019 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 7407516433

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Marion 04-05-2019 175 Edgefield Blvd

Marion OH 43302 Marion County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K17246013 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7409144178

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Ontario 06-18-2019 375 N Lexington-Springmill Rd

Ontario OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M17246008 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5679388008

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Tiffin 07-16-2020 2562 W Market St

Tiffin OH 44883 Seneca County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17246006 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7407516858

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Wapakoneta 05-21-2020 1321 Bellefontaine St Ste 100

Wapakoneta OH 45895 Auglaize County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H17246017 Facility Name: Incare Health Solutions LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7409144178

IRRP: Mazhar Hussain MD

Site Address: Last Routine Inspection Date: Walk In Urgent Care - Whitehall 07-25-2018 3597 E Main St

Whitehall OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K18630001 Facility Name: Independent Physical Medicine LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5673567407

IRRP: Patrick H Gorman DC

Site Address: Last Routine Inspection Date: Modern Health & Wellness 09-03-2019 3469 W Elm St Ste B

Lima OH 45805 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H19243001 Facility Name: Infinity Surgery Center LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: New Application Phone: 4408916500

IRRP: Kailash R Kedia MD

Site Address: Last Routine Inspection Date:

10500 Antenucci Blvd Ste 102

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10J18546001 Facility Name: Innovacare LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 2163827165

IRRP: Joseph P Spirnak MD

Site Address: Last Routine Inspection Date: 08-02-2018 5 Severance Cir Ste 108

Cleveland Heights OH 44118 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10D16153001 Facility Name: Integrated Pain Solutions Incorporated

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6143836450

IRRP: Kari Callin RT(R)

Site Address: Last Routine Inspection Date: 06-17-2021 1210 Gemini Place Ste 301

Columbus OH 43240 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10F16153003 Facility Name: Integrated Pain Solutions Incorporated

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 6143681005

IRRP: Kari Callin RT(R)

Site Address: Last Routine Inspection Date: 07-21-2021 6397 Emerald Pkwy Ste 100

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10B16153002 Facility Name: Integrated Pain Solutions Incorporated

Type: Clinic Expiration Date: 09-30-2022 Facility Status: New Application Phone: 9373421619

IRRP: Gladstone C McDowell II MD

Site Address: Last Routine Inspection Date: 04-06-2021 1117 E Home Rd

Springfield OH 45503 Clark County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H16379004 Facility Name: Internal Medicine Specialties Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4192293362

IRRP: Olayinka Omitowoju MD

Site Address: Last Routine Inspection Date: 01-16-2019 920 W Market St Ste 210

Lima OH 45805 Allen County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10M11149002 Facility Name: Interventional Spine & Pain Rehabilitation Ctr Ltd

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4195221100

IRRP: Michael F Stretanski DO

Site Address: Last Routine Inspection Date: 08-05-2020 1221 S Trimble Rd Ste B1

Mansfield OH 44903 Richland County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10M19470001 Facility Name: IWK LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4404491014

IRRP: Terence Isakov MD

Site Address: Last Routine Inspection Date: 09-26-2018 5183 Mayfield Rd

Lyndhurst OH 44124 Cuyahoga County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1

Reg #: 10B10118001 Facility Name: J Cletus Paumier MD Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3303377255

IRRP: Mary L Miller RT(R)

Site Address: Last Routine Inspection Date: Orthopedic Clinic of Salem 03-24-2021 2376 Southeast Blvd

Salem OH 444603492 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A11164002 Facility Name: J&K Pain Management Company LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4403062358

IRRP: Emad A Mikhail MD

Site Address: Last Routine Inspection Date: Great Lakes Ambulatory Surgery Center 12-10-2018 9002 Mentor Ave Ste B

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10L11164001 Facility Name: J&K Pain Management Company LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4403062358

IRRP: Emad A Mikhail MD

Site Address: Last Routine Inspection Date: Great Lakes Pain Management 11-19-2019 2760 SOM Center Rd

Willoughby Hills OH 44094 Lake County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10K17292001 Facility Name: Jackson Urgent Care Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7405773527

IRRP: Tim Peasak DO

Site Address: Last Routine Inspection Date: 10-24-2018 731 E Main St Ste 4

Jackson OH 45640 Jackson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10F16609007 Facility Name: Jewish Hospital LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5136863287

IRRP: Ruth Woosley RT(R)

Site Address: Last Routine Inspection Date: 11-12-2019 4101 Edwards Rd

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10G16609008 Facility Name: Jewish Hospital LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5136865162

IRRP: Ruth Woosley RT(R)

Site Address: Last Routine Inspection Date: 10-31-2019 5075 Parkway Dr Ste 106

Mason OH 45040 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10B06532001 Facility Name: John J Kavlich III MD

Type: Clinic Expiration Date: 09-30-2020 Facility Status: Active Registrant Phone: 4408161888

IRRP: John J Kavlich III MD

Site Address: Last Routine Inspection Date: 02-28-2018 276 W Bagley Rd

Berea OH 44017 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Non-Operating 1 2

Reg #: 10L00659002 Facility Name: Joint Implant Surgeons Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7405664640

IRRP: Jason A Reed DO

Site Address: Last Routine Inspection Date: 06-22-2021 20 University Estates Blvd Ste 200

Athens OH 45701 Athens County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K00659001 Facility Name: Joint Implant Surgeons Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6142216331

IRRP: Whitney Davis RT(R)(M)

Site Address: Last Routine Inspection Date: JIS Orthopedics 01-15-2021 7277 Smiths Mill Rd Ste 200

New Albany OH 43054 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 3

Reg #: 10B00953004 Facility Name: Joint Township District Memorial Hospital

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4193943335

IRRP: Tonia Bertram

Site Address: Last Routine Inspection Date: Wapakoneta Medical Center 08-31-2020 812 Redskin Trl

Wapakoneta OH 45895 Auglaize County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17189001 Facility Name: Journey Lite of Cincinnati LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5132592488

IRRP: Samantha Ludlum

Site Address: Last Routine Inspection Date: 08-06-2018 10475 Reading Rd Ste 115

Cincinnati OH 45241 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3 Reg #: 10J15765004 Facility Name: JTDM Family Practice LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4195865760

IRRP: James E Kemmler MD

Site Address: Last Routine Inspection Date: 01-21-2021 123 Hamilton St

Celina OH 45822 Mercer County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B15765003 Facility Name: JTDM Family Practice LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4196283821

IRRP: Anne Ly

Site Address: Last Routine Inspection Date: 12-02-2020 4463 St Rt 66 N

Minster OH 45865 Auglaize County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G15765005 Facility Name: JTDM Family Practice LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4193948664

IRRP: Christopher J Stucke DPM

Site Address: Last Routine Inspection Date: 09-18-2019 1013 E Spring St

Saint Marys OH 45885 Auglaize County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M17288001 Facility Name: Katherine M Cyran MD LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6142086263

IRRP: Katherine M Cyran MD

Site Address: Last Routine Inspection Date: 03-23-2021 3360 Tremont Rd Ste130

Columbus OH 43221 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2

Reg #: 10D06646021 Facility Name: Kettering Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9375583800

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Kettering Breast Evaluation Center 06-25-2020 6438 Wilmington Pike Ste 200

Dayton OH 45459 Greene County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10D06646026 Facility Name: Kettering Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9373958818

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Franklin Emergency Center 07-20-2018 100 Kettering Way

Franklin OH 45005 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10A06646020 Facility Name: Kettering Medical Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9372990900

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Kettering Imaging Center 04-29-2020 540 Lincoln Park Blvd Ste 100 & additional locat

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 4

Reg #: 10C06646007 Facility Name: Kettering Medical Center

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9373953910

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Far Hills Sports Medicine 12-16-2019 4403 Far Hills Ave

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B06646029 Facility Name: Kettering Medical Center

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9373958818

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Kettering Health Network Emergency 12-14-2018 Middletown 6147 St Rt 122

Middletown OH 45005 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 2 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 5

Reg #: 10M06646031 Facility Name: Kettering Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9379807061

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Kettering Health Network- Piqua Health 11-16-2020 Center 1 Kettering Way

Piqua OH 45356 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10A06646028 Facility Name: Kettering Medical Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9373958818

IRRP: Chris Mitchell BS RT(N)

Site Address: Last Routine Inspection Date: Springboro Health Center 11-25-2019 825 N Main St

Springboro OH 45066 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B03720001 Facility Name: Kevin G Wietecha DO

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3304770255

IRRP: Kevin G Wietecha DO

Site Address: Last Routine Inspection Date: Northeast Ohio Endocrinology 09-04-2018 4634 Hills & Dales Rd NW

Canton OH 44708 Stark County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10L00943003 Facility Name: Kidney & Hypertension Center, The

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5137798111

IRRP: Kristin Walton RT(R)

Site Address: Last Routine Inspection Date: 09-19-2019 7335 Yankee Rd Ste 101

Liberty Township OH 45044 Butler County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10B15138001 Facility Name: Kidney & Hypertension Consultants

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3306499400

IRRP: Anthony Degenhard DO

Site Address: Last Routine Inspection Date: Vascular Access Center 01-28-2020 4650 Hills and Dales Rd NW

Canton OH 44708 Stark County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10J00943002 Facility Name: Kidney and Hypertension Center Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5136314555

IRRP: Barbara Wilson RT(R)

Site Address: Last Routine Inspection Date: Dialysis Access Center of Cincinnati 01-08-2018 4805 Montgomery Rd Ste140

Cincinnati OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3

Reg #: 10F00547001 Facility Name: Knightsbridge Surgery Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6142730400

IRRP: Thomas Dunne

Site Address: Last Routine Inspection Date: 05-07-2020 4845 Knightsbridge Blvd Ste 110

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 3 Reg #: 10E17626001 Facility Name: Kuraoka Clinic Ohio LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6147665500

IRRP: Mark Rheaume MD

Site Address: Last Routine Inspection Date: 04-24-2019 5100 Bradenton Ave Ste A

Dublin OH 43017 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10F18403001 Facility Name: Kurt C Garren MD Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3303439600

IRRP: Kurt C Garren MD

Site Address: Last Routine Inspection Date: 11-15-2018 515 Union Ave Ste 157

Dover OH 44622 Tuscarawas County

Tubes Tube Code Description Status Quantity M13 Cone Beam CT Operating 1 1

Reg #: 10A03115002 Facility Name: Lake County Free Clinic

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4403528686

IRRP: Martin Hiller

Site Address: Last Routine Inspection Date: 09-27-2017 54 S State St Ste 302

Painesville OH 44077 Lake County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 1 D2 Panoral (only) Non-Operating 1 2 Reg #: 10B07850002 Facility Name: Lake County Pain & Diagnostic Center LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4402050800

IRRP: Patrick Boylan MD

Site Address: Last Routine Inspection Date: 12-18-2020 8401 Mentor Ave Ste A

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10G09911001 Facility Name: Lake Health - University Hospitals

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4402055765

IRRP: Chunhui Luo

Site Address: Last Routine Inspection Date: Seidman Cancer Center 03-24-2021 9485 Mentor Ave Ste 3

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 5

Reg #: 10G04923033 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4409536041

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: 08-06-2019 13170 Ravenna Rd Ste 200

Chardon OH 44024 Geauga County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10L04923009 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4402868908

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: Chardon Medical Campus 07-15-2020 510 Fifth Ave

Chardon OH 44024 Geauga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C04923021 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4409536041

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: Lake Health North Coast 01-09-2020 7580 Auburn Rd Ste 210

Concord Township OH 44077 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C04923012 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4404286800

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: Madison Medical Campus 06-26-2019 6270 N Ridge Rd

Madison OH 44057 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Operating 1 7

Reg #: 10H04923032 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4409536041

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: Lake County Mentor Wellness Radiology 06-03-2021 8655 Market St

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 2 Reg #: 10H04923013 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4409746800

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: Mentor Medical Campus 12-05-2019 9485 Mentor Ave Ste 4

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 1 M6 Stereotactic Biopsy Operating 1 M7 Fluoroscopic: Under Table Operating 1 8

Reg #: 10K04923019 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4406026670

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: PrimeHealth Orthopedics 01-22-2021 36060 Euclid Ave Ste 203

Willoughby OH 44094 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F04923031 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4409539600

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: Lake Health Perricco Health Campus 07-15-2020 4176 St Rt 306

Willoughby OH 44094 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10M04923016 Facility Name: Lake Hospital System Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4405853322

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: Willowick Medical Campus 01-22-2021 29804 Lakeshore Blvd

Willowick OH 44095 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A08245001 Facility Name: Lake Orthopaedic Associates Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4403521711

IRRP: Mitchell E Nahra MD

Site Address: Last Routine Inspection Date: 06-29-2020 9500 Mentor Ave Ste 210

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10A08245002 Facility Name: Lake Orthopaedic Associates Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4409421050

IRRP: Mitchell E Nahra MD

Site Address: Last Routine Inspection Date: 03-31-2021 36060 Euclid Ave Ste 104

Willoughby OH 44094 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D18970001 Facility Name: Lancaster Specialty Surgery Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7407859350

IRRP: Keith A Hollingsworth MD

Site Address: Last Routine Inspection Date: 06-23-2020 3056 Columbus Lancaster Rd

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10B06738015 Facility Name: Licking Memorial Hospital

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2205647500

IRRP: Jessica Clark RT(R)(CT)

Site Address: Last Routine Inspection Date: Licking Memorial Urgent Care - Granville 04-01-2019 14 Westgate Dr

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D06738016 Facility Name: Licking Memorial Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2205642300

IRRP: Jessica Clark RT(R)(CT)

Site Address: Last Routine Inspection Date: Licking Memorial Hospital - Tamarack 01-16-2019 2000 Tamarack Rd

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M2 Radiographic Mobile Operating 2 4

Reg #: 10D06738017 Facility Name: Licking Memorial Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2205644701

IRRP: Jessica Clark RT(R)(CT)

Site Address: Last Routine Inspection Date: Licking Memorial Urgent Care-Downtown 07-30-2020 20 W Locust St

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E06738009 Facility Name: Licking Memorial Hospital

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2205644698

IRRP: Jessica Clark RT(R)(CT)

Site Address: Last Routine Inspection Date: Licking Memorial Womens Health 02-20-2020 15 Messimer Dr

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2 Reg #: 10E06738014 Facility Name: Licking Memorial Hospital

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2205644701

IRRP: Jessica Clark RT(R)(CT)

Site Address: Last Routine Inspection Date: Licking Memorial Pataskala Health Campus 09-06-2018 1 Healthy Place

Pataskala OH 43062 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G18440001 Facility Name: Licking Memorial Professional Corporation

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 2205644701

IRRP: Jessica Clark RT(R)(CT)

Site Address: Last Routine Inspection Date: Licking Memorial Orthopedic Surgery 07-15-2019 1717 W Main St Ste 201

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F05305007 Facility Name: Lima Memorial Health System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4196342360

IRRP: Joy Brown

Site Address: Last Routine Inspection Date: Ada Medical & Diagnostic Center 02-26-2019 520 W Lincoln Ave Ste B

Ada OH 45810 Hardin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10C05305017 Facility Name: Lima Memorial Health System

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4196750668

IRRP: Joy Brown

Site Address: Last Routine Inspection Date: Kenton Medical Center 06-02-2021 1211 E Columbus St

Kenton OH 43326 Hardin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10E05305018 Facility Name: Lima Memorial Health System

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4199988278

IRRP: Eric Miller DPM

Site Address: Last Routine Inspection Date: Lima Memorial Foot & Ankle Center 01-25-2021 1220 E Elm St

Lima OH 45804 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M05305009 Facility Name: Lima Memorial Health System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4199984497

IRRP: Joy Brown

Site Address: Last Routine Inspection Date: Medical Park of Lima Memorial Health 02-04-2020 System 525 N Eastown Rd

Lima OH 45804 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 M6 Stereotactic Biopsy Operating 1 S3 Cabinet System exclude admittance Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 9

Reg #: 10M05305014 Facility Name: Lima Memorial Health System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4197387030

IRRP: Joy Brown

Site Address: Last Routine Inspection Date: Lima Memorial Wapakoneta Medical Center 11-06-2019 602 W Redskin Trail

Wapakoneta OH 45895 Auglaize County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G15601001 Facility Name: Lima Memorial Professional Corporation

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5679406626

IRRP: Anita K Ross RT(R)

Site Address: Last Routine Inspection Date: 10-15-2019 1003 Bellefontaine Ave Ste 100

Lima OH 45804 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D08738005 Facility Name: Lorain County Health & Dentistry

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4402411655

IRRP: Joseph Kunchik DDS

Site Address: Last Routine Inspection Date: 08-13-2020 105 Louden Ct

Elyria OH 44035 Lorain County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 1 1

Reg #: 10E08738001 Facility Name: Lorain County Health & Dentistry

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4402401655

IRRP: Joseph Kunchik DDS

Site Address: Last Routine Inspection Date: 01-21-2021 1205 Broadway Ave

Lorain OH 44052 Lorain County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 5 D2 Panoral (only) Operating 1 6 Reg #: 10G08738006 Facility Name: Lorain County Health & Dentistry

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 4402041255

IRRP: Joseph Kunchik DDS

Site Address: Last Routine Inspection Date:

801 Middle Ave

Lorain OH 44035 Lorain County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D6 Dental CT Operating 1 4

Reg #: 10M08738004 Facility Name: Lorain County Health & Dentistry

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4402401655

IRRP: Joseph Kunchik DDS

Site Address: Last Routine Inspection Date: 01-16-2020 260 S Main St

Oberlin OH 44074 Lorain County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3

Reg #: 10F19126001 Facility Name: Low-T Physicians Group Ohio LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6147925698

IRRP: Brian S Seifferth MD

Site Address: Last Routine Inspection Date: 09-02-2020 6275 Emerald Pkwy Ste 100

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1 Reg #: 10M18054002 Facility Name: Lower Lights Christian Health Center Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6142741455

IRRP: Heather Crockett-Miller DDS MPH

Site Address: Last Routine Inspection Date: 09-15-2020 1160 W Broad St

Columbus OH 43222 Franklin County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3

Reg #: 10B20313001 Facility Name: LTAH Real Estate Holdings LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4124273518

IRRP: Atul S Shetty MD

Site Address: Last Routine Inspection Date: 12-10-2020 200 School St

Wintersville OH 43953 Jefferson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M4 C.T. (Computerized Tomography) Non-Operating 1 2

Reg #: 10G20096003 Facility Name: Lumina Imaging

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 4405926093

IRRP: Bryan Crowley

Site Address: Last Routine Inspection Date:

3985 Medina Rd Ste 180

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10J20096001 Facility Name: Lumina Imaging

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 2167784036

IRRP: Bryan Crowley

Site Address: Last Routine Inspection Date: 03-24-2020 8401 Mentor Ave Ste B

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1

Reg #: 10M20096002 Facility Name: Lumina Imaging

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4405926105

IRRP: Bryan Crowley

Site Address: Last Routine Inspection Date: 11-03-2020 5855 Harper Rd Ste A

Solon OH 44139 Cuyahoga County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1

Reg #: 10E05193012 Facility Name: Madison County Community Hospital

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7408456735

IRRP: Mitchell A Brack MD

Site Address: Last Routine Inspection Date: Madison Health Urgent Care of London 07-01-2019 371 Lafayette St

London OH 43140 Madison County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J05193011 Facility Name: Madison County Community Hospital

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7409561370

IRRP: Mitchell A Brack MD

Site Address: Last Routine Inspection Date: Madison Health 04-29-2019 101 E Main St

West Jefferson OH 43162 Madison County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C05720009 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3309650909

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Tiffany Breast Care @ Advanced Womens 05-15-2020 Care 1111 Boardman Canfield Rd

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10F05720003 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3307264833

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Tiffany Breast Care @ Obstetrics & 03-07-2019 Gynecology 800 E Western Reserve Rd

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10J05720004 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3307262496

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Tiffany Breast Care @ Millennia 08-04-2021 1040 S Commons

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10K05720002 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3307506246

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Mahoning Valley Imaging @ Healthridge 12-19-2018 315 Struthers Liberty Rd

Campbell OH 44405 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10E05720020 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307070979

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Mahoning Valley Imaging @ Hubbard 12-10-2019 730 N Main St

Hubbard OH 44425 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E05720010 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307553311

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Mahoning Valley Imaging @ Struthers 07-20-2021 47 State St

Struthers OH 44471 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L05720018 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3307937966

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Tiffany Breast Care Center @ Dr's Quirk & 08-13-2020 Haggerty 5533 Mahoning Ave Ste D

Youngstown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10G05720011 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3306298624

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Tiffany Breast Care Center 01-06-2021 7067 Tiffany Blvd

Youngstown OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 M6 Stereotactic Biopsy Operating 1 3 Reg #: 10L05720013 Facility Name: Mahoning Valley Imaging Ltd

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3307888791

IRRP: Dean R Ball DO

Site Address: Last Routine Inspection Date: Mahoning Valley Imaging @ Midlothian 11-22-2019 2010 E Midlothian Blvd

Youngstown OH 44502 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F16965001 Facility Name: Main Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3304829546

IRRP: Marc S Ucchino DO

Site Address: Last Routine Inspection Date: 03-24-2021 319 N Main St

Columbiana OH 44408 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M7 Fluoroscopic: Under Table Non-Operating 1 2

Reg #: 10K04187001 Facility Name: Mansard Medical Associates Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3304528858

IRRP: Louis G Shaheen MD

Site Address: Last Routine Inspection Date: 02-28-2019 2600 W Tuscarawas St Ste 500

Canton OH 447084699 Stark County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10M01254022 Facility Name: Marietta Memorial Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7404233210

IRRP: Steven M Boker MD

Site Address: Last Routine Inspection Date: MMH Belpre Campus 11-16-2018 807 Farson St & additional locations

Belpre OH 45714 Washington County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 3 M2 Radiographic Mobile Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 2 T10 CyberKnife Operating 1 T11 TomoTherapy Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 18

Reg #: 10C01254015 Facility Name: Marietta Memorial Hospital

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7407322339

IRRP: Steven M Boker MD

Site Address: Last Routine Inspection Date: MMH Caldwell 10-31-2019 304 Main St

Caldwell OH 43724 Noble County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10A01254014 Facility Name: Marietta Memorial Hospital

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 7403741699

IRRP: Steven M Boker MD

Site Address: Last Routine Inspection Date: Marietta Memorial - Wayne Street Campus 09-23-2020 802 Wayne St

Marietta OH 45750 Washington County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 4

Reg #: 10C01254018 Facility Name: Marietta Memorial Hospital

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7403733960

IRRP: Steven M Boker MD

Site Address: Last Routine Inspection Date: MMH Physicians Care 12-02-2020 800 Pike St

Marietta OH 45750 Washington County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10L01254021 Facility Name: Marietta Memorial Hospital

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7403743622

IRRP: Steven M Boker MD

Site Address: Last Routine Inspection Date: Gynecologic Associates Inc 09-23-2020 410 Second St

Marietta OH 45750 Washington County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2 Reg #: 10A07507001 Facility Name: Marietta Surgery Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 7403738756

IRRP: Melissa Weppler

Site Address: Last Routine Inspection Date: 10-29-2020 611 Second St

Marietta OH 45750 Washington County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10G17468002 Facility Name: Marion Area Physicians LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5672417795

IRRP: Ambarish Patel RT(R)

Site Address: Last Routine Inspection Date: Bucyrus Orthopedic Facility 08-06-2019 1820 E Mansfield St

Bucyrus OH 44820 Crawford County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C17468001 Facility Name: Marion Area Physicians LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7403837944

IRRP: Jenny Clark

Site Address: Last Routine Inspection Date: 10-15-2018 6 Lexington Blvd

Delaware OH 43015 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C05155006 Facility Name: Mary Rutan Hospital

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9375921883

IRRP: Abbey Sprang

Site Address: Last Routine Inspection Date: MRH Imaging Center & additional locations 06-25-2020 120 Dowell Ave

Bellefontaine OH 43311 Logan County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 S3 Cabinet System exclude admittance Operating 1 6

Reg #: 10M05155012 Facility Name: Mary Rutan Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9378870164

IRRP: Abbey Sprang

Site Address: Last Routine Inspection Date: MRH Urbana Clinic 10-24-2019 1880 E US Hwy 36

Urbana OH 43078 Champaign County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G03112006 Facility Name: Marymount Hospital

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 2165183200

IRRP: Patrick O'Keefe MD

Site Address: Last Routine Inspection Date: Ambulatory Surgery Center 05-04-2021 5555 Transportation Blvd

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M2 Radiographic Mobile Operating 1 5

Reg #: 10L17268001 Facility Name: Mason Urgent Care LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5138054499

IRRP: Husam Hamed MD

Site Address: Last Routine Inspection Date: Urgent Care of Hamilton 01-14-2020 1 N Brookwood Ave

Hamilton OH 45013 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H11251002 Facility Name: MaternOhio Clinical Associates Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6148827001

IRRP: Ashley C Oney GMXO

Site Address: Last Routine Inspection Date: Specialists in OB/GYN of Columbus 11-16-2018 300 Polaris Pkwy

Westerville OH 43082 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10J18552001 Facility Name: Mayfield Clinic Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5135965310

IRRP: Denise Hanson RT(R)

Site Address: Last Routine Inspection Date: 02-13-2019 3825 Edwards Rd Ste 300

Cincinnati OH 45209 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L16567001 Facility Name: Mayfield Spine Surgery Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5136195899

IRRP: Crystal Kohus RT(R)

Site Address: Last Routine Inspection Date: 03-21-2019 4020 Smith Rd

Cincinnati OH 45209 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 7 7

Reg #: 10A00201009 Facility Name: McCullough Hyde Memorial Hospital Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5135245361

IRRP: Hillary A Evans MD

Site Address: Last Routine Inspection Date: 09-06-2019 79 W Central Ave

Camden OH 45311 Preble County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L00201008 Facility Name: McCullough Hyde Memorial Hospital Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5135245361

IRRP: Hillary A Evans MD

Site Address: Last Routine Inspection Date: McCullough Hyde Medical Building 12-02-2019 5151 Morning Sun Rd

Oxford OH 45056 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B20322002 Facility Name: McLaren St Luke's Hospital

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4198412166

IRRP: Jeffrey Barbarits MS DABR

Site Address: Last Routine Inspection Date: McLaren St Luke's Medical Imaging at 10-13-2020 Regency 3000 Regency Ct Ste 105

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M4 C.T. (Computerized Tomography) Operating 1 M7 Fluoroscopic: Under Table Operating 1 4

Reg #: 10G20607002 Facility Name: Med Care Group Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 2169612620

IRRP: Carmen Popa MD

Site Address: Last Routine Inspection Date:

5526 Detroit Ave

Sheffield OH 44035 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10G20607001 Facility Name: Med Care Group Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 2163539200

IRRP: Carmen Popa MD

Site Address: Last Routine Inspection Date:

4967 Turney Rd

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10E08117002 Facility Name: Med Pro Group

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3302637270

IRRP: Perry S Williams MD

Site Address: Last Routine Inspection Date: 06-26-2019 2201 Benden Dr

Wooster OH 44691 Wayne County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K10782001 Facility Name: Medical & Occupational Health Consultants PSC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7407743640

IRRP: Martin Fritzhand MD

Site Address: Last Routine Inspection Date: 10-28-2019 14 S Paint St

Chillicothe OH 45601 Ross County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Non-Operating 1 2 Reg #: 10L10782002 Facility Name: Medical & Occupational Health Consultants PSC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5136214202

IRRP: Martin Fritzhand MD

Site Address: Last Routine Inspection Date: 05-14-2019 2825 Burnet Ave Ste 304

Cincinnati OH 45219 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F10782005 Facility Name: Medical & Occupational Health Consultants PSC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5134844609

IRRP: Martin Fritzhand MD

Site Address: Last Routine Inspection Date: 04-20-2021 3080 Ackerman Blvd

Kettering OH 45429 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G10782004 Facility Name: Medical & Occupational Health Consultants PSC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5136214202

IRRP: Martin Fritzhand MD

Site Address: Last Routine Inspection Date: 11-20-2019 1010 Summit Dr

Middletown OH 45042 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L01811001 Facility Name: Medical and Surgical Associates Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7405227600

IRRP: Michael E Campolo DO

Site Address: Last Routine Inspection Date: 08-27-2020 1930 Tamarack Rd

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Non-Operating 1 2

Reg #: 10J00047001 Facility Name: Medical Evaluation Services Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6142619723

IRRP: Jayne Shook RT(R)

Site Address: Last Routine Inspection Date: 10-21-2020 3400 N High St Ste 340

Columbus OH 432021142 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M07527019 Facility Name: Medical University of Ohio at Toledo

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4194868840

IRRP: Joseph Agosti

Site Address: Last Routine Inspection Date: University of Toledo Medical Center - 10-22-2018 Regency 1060 Regency Ct Ste 200

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10G07527020 Facility Name: Medical University of Ohio at Toledo

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4193834301

IRRP: Joseph Agosti

Site Address: Last Routine Inspection Date: 01-17-2020 3333 Glendale Ave

Toledo OH 43614 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K11110001 Facility Name: Medical Urgent Care

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5136610555

IRRP: Tarek Anjari MD

Site Address: Last Routine Inspection Date: 05-02-2018 3006 Glenmore Ave

Cincinnati OH 45238 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C16829001 Facility Name: Medina-Summit Ambulatory Surgery Center LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3309520014

IRRP: Ronald Scala MS

Site Address: Last Routine Inspection Date: Medina Surgery Center 05-27-2020 3780 Medina Rd Ste 120

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10H18517001 Facility Name: Medix Urgent Care and Occupational Health LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 9374354643

IRRP: Yoga N Navayogarajah

Site Address: Last Routine Inspection Date: 04-25-2019 4433 Feedwire Rd

Centerville OH 45440 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E02386016 Facility Name: MedSource One

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2163282240

IRRP: Scott E Singer MD MPH

Site Address: Last Routine Inspection Date: Scott E Singer MD MPH 03-31-2020 5350 Transportation Blvd

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J04607010 Facility Name: Memorial Hospital

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4198241863

IRRP: Paul Atkinson

Site Address: Last Routine Inspection Date: Dorothy L Kern Cancer Center Promedica 04-16-2019 Memorial 2390 Enterprise St

Fremont OH 43420 Sandusky County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10B00594012 Facility Name: Memorial Hospital of Union County

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9375787881

IRRP: Charles H Muncrief DO

Site Address: Last Routine Inspection Date: Memorial Imaging at City Gate 08-03-2021 120 Coleman's Crossing Blvd

Marysville OH 43040 Union County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 5

Reg #: 10H00594014 Facility Name: Memorial Hospital of Union County

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 9375782393

IRRP: Charles H Muncrief DO

Site Address: Last Routine Inspection Date: Memorial Hospital Outpatient Surgery 08-21-2019 Center 122 Professional Pkwy

Marysville OH 43040 Union County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10J00594006 Facility Name: Memorial Hospital of Union County

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9375782589

IRRP: Charles H Muncrief DO

Site Address: Last Routine Inspection Date: Damascus Imaging 06-03-2021 388 Damascus Rd

Marysville OH 43040 Union County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L00594015 Facility Name: Memorial Hospital of Union County

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9375782377

IRRP: Charles H Muncrief DO

Site Address: Last Routine Inspection Date: Memorial Urbana Medical Center 09-13-2018 1958 E St Rt 36

Urbana OH 43078 Union County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10G17009001 Facility Name: Mentor Surgery Center Ltd

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4402055473

IRRP: Michelle Nocera RT(R)(CT)(M)

Site Address: Last Routine Inspection Date: 06-08-2021 9485 Mentor Ave Ste 1

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 3

Reg #: 10M00223009 Facility Name: Mercer County Joint Community Hosp

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4195861611

IRRP: Lichele Olberding RT(R)

Site Address: Last Routine Inspection Date: Community Medical Center 06-17-2019 950 S Main St

Celina OH 45822 Mercer County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J08560009 Facility Name: Mercy Health - Clermont Hospital LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5137351510

IRRP: Matthew T Danneman MD

Site Address: Last Routine Inspection Date: Mercy Health Eastgate Surgery Center 11-14-2018 4415 Aicholtz Rd

Cincinnati OH 45245-9936 Clermont County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 4

Reg #: 10F08560010 Facility Name: Mercy Health - Clermont Hospital LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5139471130

IRRP: Matthew T Danneman MD

Site Address: Last Routine Inspection Date: Mercy Health ²Eastgate Medical Center 07-25-2019 601 Ivy Gateway

Cincinnati OH 45245 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 M6 Stereotactic Biopsy Operating 2 S3 Cabinet System exclude admittance Operating 1 8 Reg #: 10J08560005 Facility Name: Mercy Health - Clermont Hospital LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5138314425

IRRP: Matthew T Danneman MD

Site Address: Last Routine Inspection Date: Mercy Health Milford Imaging 06-21-2019 201 Old Bank Rd

Milford OH 45150 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10F08560008 Facility Name: Mercy Health - Clermont Hospital LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5137351510

IRRP: Matthew T Danneman MD

Site Address: Last Routine Inspection Date: Mercy Health Mt Orab Medical Center 03-27-2019 154 Health Partners Cir

Mount Orab OH 45154 Brown County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10H19206003 Facility Name: Mercy Health - Defiance Hospital LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 4196340431

IRRP: Lori Sheets RT(R)

Site Address: Last Routine Inspection Date: Ada Family Medicine 10-29-2019 604 W North Ave

Ada OH 45810 Hardin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F08198031 Facility Name: Mercy Health - Regional Medical Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 4409606040

IRRP: Carrie A Jankowski RT(R)

Site Address: Last Routine Inspection Date: Sheffield Neurosurgery 5319 Hoag Dr Ste 100

Sheffield OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10K08198014 Facility Name: Mercy Health - Regional Medical Center LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4403243226

IRRP: Carrie A Jankowski RT(R)

Site Address: Last Routine Inspection Date: Mercy Health Lorain - Northern Ohio 10-15-2020 Imaging Center 1900 W River Rd N

Elyria OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 5 Reg #: 10L08198015 Facility Name: Mercy Health - Regional Medical Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4403240440

IRRP: Shanna Pervola MS

Site Address: Last Routine Inspection Date: Mercy Health Lorain - Mercy Cancer Center 02-04-2020 41201 Schaden Rd

Elyria OH 44035 Lorain County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 5

Reg #: 10B08198027 Facility Name: Mercy Health - Regional Medical Center LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4409604100

IRRP: Carrie A Jankowski RT(R)

Site Address: Last Routine Inspection Date: Mercy Health Lorain - Orthopedics Imaging 07-28-2020 Services 3600 Kolbe Rd Ste 100

Lorain OH 44053 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F08198030 Facility Name: Mercy Health - Regional Medical Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4403665577

IRRP: Carrie A Jankowski RT(R)

Site Address: Last Routine Inspection Date: Mercy Health Lorain - North Ridgeville 12-18-2018 39263 Center Ridge Rd

North Ridgeville OH 44039 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H08372010 Facility Name: Mercy Health - St Anne Hospital LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 5674555800

IRRP: Jeffrey Barbarits MS DABR

Site Address: Last Routine Inspection Date: Mercy Health Sylvania Medical Center 01-09-2019 3100 King Rd

Toledo OH 43617 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Non-Operating 1 M4 C.T. (Computerized Tomography) Operating 1 4

Reg #: 10J08372006 Facility Name: Mercy Health - St Anne Mercy Hospital LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4195171700

IRRP: Jeffrey Barbarits MS DABR

Site Address: Last Routine Inspection Date: Mercy Outpatient Imaging 05-16-2019 7640 W Sylvania Ave

Sylvania OH 43560 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3 Reg #: 10C00458007 Facility Name: Mercy Health - St Charles Hospital LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4198623838

IRRP: Jeffrey Barbarits MS DABR

Site Address: Last Routine Inspection Date: Mercy Physical Therapy/Diagnostics @ 10-01-2019 Elmore 3105 W St Rt 51

Elmore OH 43416 Ottawa County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A00458021 Facility Name: Mercy Health - St Charles Hospital LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4196918132

IRRP: Jeffrey Barbarits MS DABR

Site Address: Last Routine Inspection Date: 02-01-2021 3851, 2735 & 2702 Navarre Ave Ste 101

Oregon OH 43616 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Non-Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 3 M6 Stereotactic Biopsy Operating 1 8 Reg #: 10M00458020 Facility Name: Mercy Health - St Charles Hospital LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4197267070

IRRP: Jeffrey Barbarits MS DABR

Site Address: Last Routine Inspection Date: Mercy Family Physicians 10-06-2020 2755 Shoreland Ave

Toledo OH 43611 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G02021014 Facility Name: Mercy Health - St Ritas Medical Center LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4199965032

IRRP: Jeffrey Miller MD

Site Address: Last Routine Inspection Date: Delphos Ambulatory Care Center 01-16-2020 1800 E 5th St

Delphos OH 45833 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 3 Reg #: 10M02021018 Facility Name: Mercy Health - St Ritas Medical Center LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4192264400

IRRP: Jeffrey Miller MD

Site Address: Last Routine Inspection Date: Putnam County Ambulatory Ctr 11-17-2020 601 St Rt 224

Glandorf OH 45848 Putnam County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4

Reg #: 10D02021020 Facility Name: Mercy Health - St Ritas Medical Center LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4199965895

IRRP: Jeffrey Miller MD

Site Address: Last Routine Inspection Date: East Side Urgent Care 01-07-2020 967 Bellefontaine Ave

Lima OH 45804 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K02021023 Facility Name: Mercy Health - St Ritas Medical Center LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4192272245

IRRP: Jeffrey Miller MD

Site Address: Last Routine Inspection Date: West Side Urgent Care 05-08-2020 2195 Allentown

Lima OH 45805 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C02021012 Facility Name: Mercy Health - St Ritas Medical Center LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4199965063

IRRP: Patrick Diltz PhD

Site Address: Last Routine Inspection Date: Allison Radiation Oncology Center 07-07-2021 803 W Market St

Lima OH 458052736 Allen County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 5

Reg #: 10H02021016 Facility Name: Mercy Health - St Ritas Medical Center LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4192269720

IRRP: Teresa Ellerbrock

Site Address: Last Routine Inspection Date: Occupational Health Center 01-16-2019 1875 S Dixie Hwy

Lima OH 45804 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H02021011 Facility Name: Mercy Health - St Ritas Medical Center LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4199964899

IRRP: Lisa Nagel

Site Address: Last Routine Inspection Date: Mercy Health St Rita's Wapak Imaging 08-03-2020 Center 1100 Defiance St

Wapakoneta OH 45895 Auglaize County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2 Reg #: 10K00459014 Facility Name: Mercy Health - St Vincent Medical Center LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4197940004

IRRP: Keith A Hanf

Site Address: Last Routine Inspection Date: Mercy Arrowhead Surgery Center 10-29-2018 1360 Arrowhead Rd

Maumee OH 43537 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H00459016 Facility Name: Mercy Health - St Vincent Medical Center LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 4197944760

IRRP: Jeffrey Barbatis MS DABR

Site Address: Last Routine Inspection Date: 12-27-2019 500 The Boulevard

Maumee OH 43537 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2 Reg #: 10H00459017 Facility Name: Mercy Health - St Vincent Medical Center LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4197944760

IRRP: Jeffrey Barbatis MS DABR

Site Address: Last Routine Inspection Date: Mercy Health Perrysburg Medical Center 01-09-2020 12621 Eckel Junction Rd

Perrysburg OH 43551 Wood County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 1 M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 1 9

Reg #: 10A00459021 Facility Name: Mercy Health - St Vincent Medical Center LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4196967465

IRRP: Shanna Pervola MS

Site Address: Last Routine Inspection Date: Mercy Health - Perrysburg Cancer Center 01-08-2020 12623 Eckel Junction Rd

Perrysburg OH 43552 Lucas County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 4 Reg #: 10A00459013 Facility Name: Mercy Health - St Vincent Medical Center LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4194071100

IRRP: Shanna Pervola MS

Site Address: Last Routine Inspection Date: Mercy Health - Sylvania Radiation Oncology 10-06-2020 4126 N Holland Sylvania Rd Ste 175

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10J09791030 Facility Name: Mercy Health Physicans Cincinnati LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5136038720

IRRP: Carrie Bright

Site Address: Last Routine Inspection Date: 01-23-2020 4652 Partners Place

Liberty Township OH 45011 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F18876009 Facility Name: Mercy Health Physicians - North LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 4196967000

IRRP: Cheryl Vislay RT(R)

Site Address: Last Routine Inspection Date: 08-05-2021 2702 Navarre Ave Ste 102

Oregon OH 43616 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L18876004 Facility Name: Mercy Health Physicians - North LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4198746888

IRRP: Kim Nadaud DPM

Site Address: Last Routine Inspection Date: Mercy Health Perrysburg Podiatry 04-07-2021 521 Louisiana Ave

Perrysburg OH 43551 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C18876006 Facility Name: Mercy Health Physicians - North LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5673681333

IRRP: Adrienne Sedlmeier

Site Address: Last Routine Inspection Date: Mercy Health Starbright Primary Care 03-19-2019 28555 Starbright Blvd B

Perrysburg OH 43551 Lucas County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10F18876007 Facility Name: Mercy Health Physicians - North LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5673681000

IRRP: Cheryl Vislay RT(R)

Site Address: Last Routine Inspection Date: Mercy Health Perrysburg Orthopedics and 06-14-2019 Sports Med 12623 Eckel Junction Rd Ste 2600

Perrysburg OH 43551 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C18876005 Facility Name: Mercy Health Physicians - North LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4195178178

IRRP: Sophia Minchella RT(R)

Site Address: Last Routine Inspection Date: Mercy Hlth Sylvania Orthopedics & Sports 03-11-2019 Medicine 7640 W Sylvania Ste B

Sylvania OH 43560 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B18876002 Facility Name: Mercy Health Physicians - North LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4194743338

IRRP: Kim Nadaud DPM

Site Address: Last Routine Inspection Date: Mercy Podiatry West Toledo 02-11-2021 3030 W Sylvania Ave Ste 105

Toledo OH 43613 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D18876008 Facility Name: Mercy Health Physicians - North LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4194414252

IRRP: Jeffrey Barbarits MS DABR

Site Address: Last Routine Inspection Date: Mercy Health Waterville Walk-in 03-29-2021 1222 Pray Blvd Ste 2

Waterville OH 43566 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J09791006 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5139816784

IRRP: Danielle Hibbard RT(R)

Site Address: Last Routine Inspection Date: Mercy Medical Associates Orthopedics 03-16-2021 3301 Mercy Health Blvd Ste 450

Cincinnati OH 45211 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 3

Reg #: 10F09791009 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5139816784

IRRP: Danielle Hibbard RT(R)

Site Address: Last Routine Inspection Date: MMA Orthopaedic & Spine Specialist 06-02-2021 4750 E Galbraith Rd Ste 105

Cincinnati OH 45239 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10L09791016 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5137338894

IRRP: Amber Dubbs

Site Address: Last Routine Inspection Date: 07-31-2020 4701 Creek Rd Ste 110

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L09791017 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5132326677

IRRP: Marilyn Carpinello

Site Address: Last Routine Inspection Date: 07-01-2020 7575 Five Mile Rd

Cincinnati OH 45230 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 3

Reg #: 10L09791018 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5137537488

IRRP: Beth Knaley

Site Address: Last Routine Inspection Date: MMA Orthopaedic & Sports Medicine 07-08-2020 4440 Glen Este Withamsville Rd

Cincinnati OH 45245 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A09791023 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5133479999

IRRP: Hannah Nuhn

Site Address: Last Routine Inspection Date: Cincinnati Sports Medicine - Montgomery 12-12-2017 10663 Montgomery Rd

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C09791028 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5133479999

IRRP: Danielle Hibbard RT(R)

Site Address: Last Routine Inspection Date: Bridgetown Orthopedics 02-05-2021 6045 Bridgetown Rd Ste 4

Cincinnati OH 45248 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G09791004 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5137529610

IRRP: Todd Bricking MD

Site Address: Last Routine Inspection Date: Mercy Health Eastgate Occ Health & Urgent 11-07-2019 Care 4415 Aicholtz Rd Ste 100

Cincinnati OH 45245 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D09791014 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5139248920

IRRP: Danielle Hibbard RT(R)

Site Address: Last Routine Inspection Date: Fairfield Orthopaedics & Spine 06-04-2019 3050 Mack Rd Ste 200

Fairfield OH 45014 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09791029 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5133479999

IRRP: Danielle Hibbard RT(R)

Site Address: Last Routine Inspection Date: Liberty Falls Orthopaedics 08-09-2019 6770 Cincinnati-Dayton Rd Ste 105

Liberty Township OH 45044 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10D09791008 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5133390800

IRRP: Abby Goddard

Site Address: Last Routine Inspection Date: Mercy Medical Imaging Deerfield 03-11-2021 5232 Socialville Foster Rd

Mason OH 45040 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K09791027 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5137338894

IRRP: Jennifer Simspon

Site Address: Last Routine Inspection Date: 04-16-2019 270 S Locust St

Oxford OH 45056 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L09791005 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9374462531

IRRP: Brittany D Massey RT(R)

Site Address: Last Routine Inspection Date: Sardinia Family Medicine 03-15-2018 7109 Bachman Rd

Sardinia OH 45171 Brown County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C09791013 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9374846784

IRRP: Gregory Carozza DO

Site Address: Last Routine Inspection Date: 06-05-2019 900 Scioto St Ste 1

Urbana OH 43078 Champaign County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L09791019 Facility Name: Mercy Health Physicians Cincinnati LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5136452227

IRRP: Julie Moore RT(R)

Site Address: Last Routine Inspection Date: MMA Orthopaedic & Sports Medicine 10-23-2020 8737 Union Centre Blvd

West Chester OH 45069 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J18888006 Facility Name: Mercy Health Physicians Lorain LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4409374600

IRRP: Carrie A Jankowski RT(R)

Site Address: Last Routine Inspection Date: Avon Primary and Walk-in Care 02-20-2020 1813 Nagel Rd Ste 500

Avon OH 44011 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F18888005 Facility Name: Mercy Health Physicians Lorain LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4409603013

IRRP: Carrie A Jankowski RT(R)

Site Address: Last Routine Inspection Date: Mercy Health Oak Point Primary Care 05-20-2019 5940 Oak Point Rd

Lorain OH 44053 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B18888004 Facility Name: Mercy Health Physicians Lorain LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4402224616

IRRP: Carrie A Jankowski RT(R)

Site Address: Last Routine Inspection Date: Mercy Health Vermilion Primary Care 01-16-2020 1607 St Rt 60 Ste 6

Vermilion OH 44089 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B17507003 Facility Name: Mercy Health Physicians Youngstown LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3307584399

IRRP: Thomas S Boniface MD

Site Address: Last Routine Inspection Date: Boardman Orthopaedics and Rehabilitation 04-07-2020 835 McKay Ct Ste 100

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A17507007 Facility Name: Mercy Health Physicians Youngstown LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3304829350

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: Joanie Abdu Mammo Columbiana 10-04-2018 107 Royal Birkdale Dr

Columbiana OH 44408 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10A17507006 Facility Name: Mercy Health Physicians Youngstown LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3307267100

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 10-03-2018 9471 Market St

North Lima OH 44452 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E17507009 Facility Name: Mercy Health Physicians Youngstown LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 3305374661

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date:

605 E Ohio Ave

Sebring OH 44672 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E17507004 Facility Name: Mercy Health Physicians Youngstown LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3303065310

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: Mercy Health-Howland Imaging 10-08-2020 1932 Niles Cortland Rd NE

Warren OH 44484 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10E17507008 Facility Name: Mercy Health Physicians Youngstown LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3304803503

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 04-29-2021 5533 Mahoning Ave

Youngstown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D18876003 Facility Name: Mercy Health Physicians-North LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4196934171

IRRP: Khase A Wilkinson DPM

Site Address: Last Routine Inspection Date: Mercy Health Oregon Podiatry 04-16-2020 1050 Isaac Streets Dr Ste 122

Oregon OH 43616 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B01230017 Facility Name: Mercy Health Youngstown LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3307927465

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: St Elizabeth Austintown Facility 05-12-2021 6252 Mahoning Ave

Austintown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10J01230025 Facility Name: Mercy Health Youngstown LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3307297530

IRRP: Munir Ahmad MD

Site Address: Last Routine Inspection Date: St Elizabeth Health / Cancer Care Center 08-25-2020 8401 Market St

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10H01230039 Facility Name: Mercy Health Youngstown LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3307573643

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: St Elizabeth Boardman Health 08-21-2019 Center/Poland Imaging 6615 Clingan Rd

Poland OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 3

Reg #: 10G01230030 Facility Name: Mercy Health Youngstown LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3306097874

IRRP: Patricia M Holloway RT(R)

Site Address: Last Routine Inspection Date: St Joseph Surgical Center 01-14-2021 1934 Niles Cortland Rd NE

Warren OH 44484 Trumbull County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 4 Reg #: 10C01230021 Facility Name: Mercy Health Youngstown LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3308414126

IRRP: Munir Ahmad MD

Site Address: Last Routine Inspection Date: St Joseph Health Center - Therapy 08-20-2020 667 Eastland Ave SE

Warren OH 44484 Trumbull County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10D01230022 Facility Name: Mercy Health Youngstown LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3303065040

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: St Joseph Minor Emergency & Diagnostic 07-22-2021 Center 1296 Tod Pl Ste 201

Warren OH 44485 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K01230026 Facility Name: Mercy Health Youngstown LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3308564151

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: St Joseph Urgent Care Center 02-11-2020 1950 Niles Cortland Rd NE Ste 1

Warren OH 44484 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L20206001 Facility Name: Mercy Health-Springfield Cancer Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9375238635

IRRP: Sandra J Victor MD

Site Address: Last Routine Inspection Date: 06-04-2020 148 W North St

Springfield OH 45504 Clark County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 5

Reg #: 10L05146018 Facility Name: Mercy Hospital - Fairfield

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5139814100

IRRP: Carrie Eppard BSMI RT(R)

Site Address: Last Routine Inspection Date: Liberty Falls Medical Plaza 04-22-2020 6770 Cincinnati Dayton Rd

Liberty Township OH 45044 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10H00764009 Facility Name: Mercy Hospital Anderson

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5132333320

IRRP: Kevin P Weber MD

Site Address: Last Routine Inspection Date: Mercy Anderson Imaging and Lab 05-03-2018 7755 Five Mile Rd

Cincinnati OH 45230 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09792007 Facility Name: Mercy Hospitals West

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5133892814

IRRP: Nicole K Bradley

Site Address: Last Routine Inspection Date: Mercy Health Queen City Medical Center 03-20-2020 3131 Queen City Ave

Cincinnati OH 45238 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10C09792008 Facility Name: Mercy Hospitals West

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5133678076

IRRP: Nicole K Bradley

Site Address: Last Routine Inspection Date: Harrison Medical Center 02-12-2019 10450 New Haven Rd

Harrison OH 45030 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10L09879020 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3308233856

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ Alliance 07-23-2020 149 E Simpson St

Alliance OH 44601 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10B09879013 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3305884580

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ Plain Community - Canton 09-23-2019 2638 Easton St NE

Canton OH 44721 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F09879005 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3309668884

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ North Canton 07-23-2020 6200 Whipple Ave

Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2 Reg #: 10F09879002 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3308632993

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ Carrollton 09-02-2020 125 Canton Rd

Carrollton OH 44615 Carroll County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10F09879004 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3304891071

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ Louisville 07-23-2020 1302 W Main St Ste B

Louisville OH 44641 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10J09879017 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3304891111

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ Jackson 03-10-2021 7337 Caritas Cir NW

Massillon OH 44646 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 5

Reg #: 10B09879021 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3304891111

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ Massillon 10-24-2019 2935 Lincoln Way NW

Massillon OH 44646 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3 Reg #: 10D09879014 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3303655100

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ Tuscarawas 05-07-2021 1031 W High Ave

New OH 44663 Tuscarawas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B09879008 Facility Name: Mercy Medical Center Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3305884580

IRRP: Cale Russell RT(R)

Site Address: Last Routine Inspection Date: MMC @ Lake Community Center 01-08-2021 11932 King Church Ave NW

Uniontown OH 44685 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G19168004 Facility Name: Meritra Clinics LLC

Type: Clinic Expiration Date: 07-31-2021 Facility Status: Active Registrant Phone: 6142782300

IRRP: Naveen Bekkam MD

Site Address: Last Routine Inspection Date: 05-17-2018 85 Phillipi Rd

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10B04475034 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth @ Park East 08-19-2020 3609 Park East

Beachwood OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 4

Reg #: 10L04475059 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Bedford Health Center 02-12-2020 19999 Rockside Rd

Bedford OH 44146 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10A04475060 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Brecksville Health and Surgery 03-11-2020 Center 9200 Treeworth Blvd

Brecksville OH 44141 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 5

Reg #: 10H04475039 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Old Campus 09-30-2020 4229 Pearl Rd

Cleveland OH 44109 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 6 Reg #: 10J04475047 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 2169575000

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth West Park Health Center 09-18-2018 3838 W 150th St

Cleveland OH 44111 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M04475064 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2169785276

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Ohio City Family Health Center 08-18-2020 4909 Lorain Ave and additional locations

Cleveland OH 44102 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 15 D6 Dental CT Operating 1 M1 Radiographic (Stationary) Operating 1 17

Reg #: 10E04475026 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Buckeye Health Center 02-10-2021 2816 E 116th St

Cleveland OH 44120 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10M04475025 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Broadway Health Center 09-30-2020 6835 Broadway Ave

Cleveland OH 44105 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 6 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 10

Reg #: 10M04475031 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Ambulatory Surgery Center 07-31-2018 4330 W 150th St

Cleveland OH 44135 Cuyahoga County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 1 M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 3 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 M6 Stereotactic Biopsy Operating 1 S3 Cabinet System exclude admittance Operating 1 11 Reg #: 10L04475058 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Cleveland Heights Health 01-23-2020 Center 10 Severance Cir

Cleveland Heights OH 44118 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 6 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M7 Fluoroscopic: Under Table Non-Operating 1 10

Reg #: 10A04475061 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Lyndhurst Health Center 02-21-2020 29001 Cedar Rd Ste 518

Lyndhurst OH 44124 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F04475049 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Middleburg Heights November 01-22-2020 Family H C 7800 Pearl Rd

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 3

Reg #: 10G04475056 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth State Road Family Practice 10-29-2018 12744 State Rd

North Royalton OH 44113 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10L04475057 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Parma Health and Surgery 01-15-2020 Center 12301 Snow Rd

Parma OH 44130 Cuyahoga County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 1 M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M2 Radiographic Mobile Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Non-Operating 1 M7 Fluoroscopic: Under Table Non-Operating 1 15

Reg #: 10F04475055 Facility Name: MetroHealth System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 2167784021

IRRP: Ryan Fisher PhD DABR MRSE

Site Address: Last Routine Inspection Date: MetroHealth Westlake Health Center 10-29-2018 38 Main St Ste 300

Westlake OH 44145 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2 Reg #: 10F19846001 Facility Name: Miami Valley Ambulatory Surgery Center Ltd

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9372522000

IRRP: Donna Guthrie

Site Address: Last Routine Inspection Date: 06-19-2019 1010 Woodman Dr

Dayton OH 45432-1400 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3

Reg #: 10D03752015 Facility Name: Miami Valley Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9372087618

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: MVH Medical Imaging - Beavercreek 06-30-2020 1244 Meadow Bridge Dr

Beavercreek OH 45432 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10A03752028 Facility Name: Miami Valley Hospital

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9377345757

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: Miami Valley Health Center Huber Heights 09-07-2018 6251 Miami Valley Way

Huber Heights OH 45424 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 5

Reg #: 10M03752026 Facility Name: Miami Valley Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9376752445

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: MVH Imaging Center - Jamestown 01-08-2019 4940 Cottonville Rd

Jamestown OH 45335 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10A03752027 Facility Name: Miami Valley Hospital

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9378664386

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: MVH Austin Emergency Care Center 10-01-2018 300 Austin West Blvd

Miamisburg OH 45342 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10K03752025 Facility Name: Miami Valley Hospital

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9377488420

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: MVH Imaging Center - Springboro 02-12-2020 630 N Main St

Springboro OH 45066 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10F03752016 Facility Name: Miami Valley Hospital

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9372087117

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: MVH Sure Care Imaging 08-21-2019 360 W Central Ave

Springboro OH 45066 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B09385004 Facility Name: Miami Valley Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9372522000

IRRP: Carolyn M Kauffman

Site Address: Last Routine Inspection Date: 06-07-2021 1010 Woodman Dr

Dayton OH 45432 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 2 M1 Radiographic (Stationary) Operating 1 3

Reg #: 10B09385007 Facility Name: Miami Valley Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9374595389

IRRP: Carolyn M Kauffman

Site Address: Last Routine Inspection Date: 11-13-2019 1403 Wagner Ave

Greenville OH 45331 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B09385005 Facility Name: Miami Valley Urgent Care LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9375282286

IRRP: Carolyn M Kauffman

Site Address: Last Routine Inspection Date: 04-14-2021 8210 Springboro Pike

Miamisburg OH 45342 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L17278001 Facility Name: Michael P Haggerty MD LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3307937966

IRRP: Michael P Haggerty MD

Site Address: Last Routine Inspection Date: 12-10-2018 5533 Mahoning Ave Ste D

Youngstown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10M16613001 Facility Name: Middlefield Clinic LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4406321118

IRRP: Jon Floriano MD

Site Address: Last Routine Inspection Date: 01-28-2020 15561 W High St

Middlefield OH 44062 Geauga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10L10164005 Facility Name: Midwest Community Health Associates Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4196335452

IRRP: Penny Whitney RT(R)(M)

Site Address: Last Routine Inspection Date: Parkview Physicians Group 08-13-2020 Bryan Medical Center - 442 W High St

Bryan OH 43506 Williams County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 5 Reg #: 10F19082001 Facility Name: Midwest Dysphagia Consultants LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5137130069

IRRP: Nathan B Baumer MD

Site Address: Last Routine Inspection Date: 05-27-2021 5710 Wooster Pike Ste 102

Cincinnati OH 45227 Hamilton County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 4 4

Reg #: 10L15831001 Facility Name: Midwest Spine Interventionalist LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9376190724

IRRP: Vivek A Manocha MD

Site Address: Last Routine Inspection Date: 04-07-2021 578 N Main St

Springboro OH 45066 Warren County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10F16964001 Facility Name: Midwest Vascular and Varicose Vein Center LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4198662000

IRRP: Innocent N Ubunama DO

Site Address: Last Routine Inspection Date: 04-15-2019 7100 Orchard Center Dr

Holland OH 43528 Lucas County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 2 2 Reg #: 10C01833001 Facility Name: Millennia Women's Healthcare Inc

Type: Clinic Expiration Date: 11-30-2020 Facility Status: Active Registrant Phone: 3307262496

IRRP: James E Leonelli MD

Site Address: Last Routine Inspection Date: 03-07-2019 1040 S Commons Place Ste 100

Poland OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1

Reg #: 10M00158006 Facility Name: Morrow County Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4199493091

IRRP: Kelli Jagger

Site Address: Last Routine Inspection Date: 07-09-2018 73 Sportsman's Dr

Marengo OH 43334 Morrow County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L00158003 Facility Name: Morrow County Hospital

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4199465015

IRRP: Kelli Jagger

Site Address: Last Routine Inspection Date: Northfield Medical 01-25-2021 6519 US Rt 42

Mount Gilead OH 43338 Morrow County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F00466025 Facility Name: Mount Carmel Health System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6145464646

IRRP: Trisha Coffman

Site Address: Last Routine Inspection Date: Diley Ridge Medical Center 07-22-2020 7901 Diley Rd Ste 210

Canal Winchester OH 43110 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D00466030 Facility Name: Mount Carmel Health System

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6145464646

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: Mount Carmel East Radiation Oncology 11-14-2019 3100 Plaza Properties Blvd Ste 120

Columbus OH 43219 Franklin County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 5

Reg #: 10C00466047 Facility Name: Mount Carmel Health System

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6145464646

IRRP: Trisha Coffman

Site Address: Last Routine Inspection Date: Mount Carmel Cardiac Imaging Services- 07-25-2019 East 85 McNaughten Rd Ste 300

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 2 3 Reg #: 10F00466048 Facility Name: Mount Carmel Health System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6145464646

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: Mount Carmel ED Franklinton 10-09-2019 120 S Green St

Columbus OH 43222 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 2 M4 C.T. (Computerized Tomography) Operating 2 5

Reg #: 10F00466049 Facility Name: Mount Carmel Health System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6145464646

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: Mount Carmel Women's Health Center - 10-10-2019 Franklinton 775 W Broad St Ste 260

Columbus OH 43222 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2 Reg #: 10M00466029 Facility Name: Mount Carmel Health System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6145464646

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: Mount Carmel Imaging Center Hilliard 06-08-2021 4674 Britton Pkwy

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 1 5

Reg #: 10J00466042 Facility Name: Mount Carmel Health System

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6145464646

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: Mount Carmel Lewis Center 02-12-2019 7100 Graphics Way

Lewis Center OH 43035 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6 Reg #: 10D00466050 Facility Name: Mount Carmel Health System

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6145464646

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: Mount Carmel Reynoldsburg Emergency 02-17-2021 Department 2300 St Rt 256

Reynoldsburg OH 43068 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10G08301020 Facility Name: Mount Carmel HealthProviders Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6145464646

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: MCMG Grove City Family Health 01-20-2021 6024 Hoover Rd Ste A

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K08301019 Facility Name: Mount Carmel HealthProviders Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6142629447

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: Mount Carmel Central Ohio Neurological 02-12-2019 Surgeons 955 Eastwind Dr

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2 Reg #: 10F18405002 Facility Name: Mount Carmel Healthproviders Two

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6146633877

IRRP: Jennifer Ring

Site Address: Last Routine Inspection Date: Mount Carmel Central Ohio Pulmonary & 04-18-2019 Sleep 5300 N Meadows Dr Bldg 2 Ste 3820

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E20499002 Facility Name: Mount Carmel Urgent Care

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6149867752

IRRP: Dustin Anderson RT(R)

Site Address: Last Routine Inspection Date: Radiology Dept 05-04-2021 6495 E Broad St Ste F

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E20499001 Facility Name: Mount Carmel Urgent Care

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6148717130

IRRP: Dustin Anderson RT(R)

Site Address: Last Routine Inspection Date: Radiology Dept 05-17-2021 3000 Meadow Pond Ct Ste 200

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G20630001 Facility Name: Mt Auburn Urgent Care LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 5136212200

IRRP: David E Bradford DC

Site Address: Last Routine Inspection Date:

2230 Auburn Ave

CIncinnati OH 45219 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B20349001 Facility Name: Mt Eaton Medical Group

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3303595489

IRRP: Nolan W Byler DO

Site Address: Last Routine Inspection Date: 09-25-2020 15988 E Chestnut St

Mount Eaton OH 44659 Wayne County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10C19669001 Facility Name: Mujeeb A Ranginwala MD Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9375259350

IRRP: Mujeeb A Ranginwala MD

Site Address: Last Routine Inspection Date: 02-28-2019 1929 E High St

Springfield OH 45505 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10H02742001 Facility Name: Muskingum Pediatrics

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7404547119

IRRP: Othello R Repuyan MD

Site Address: Last Routine Inspection Date: 10-04-2019 3814 James Ct

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10D15844007 Facility Name: Muskingum Valley Health Centers

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7408919082

IRRP: Jeanie Blake RN BSM MSN MBA

Site Address: Last Routine Inspection Date: MVHC Cambridge 01-25-2021 1330 Clark St

Cambridge OH 43725 Guernsey County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Operating 1 6 Reg #: 10C15844005 Facility Name: Muskingum Valley Health Centers

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7408919000

IRRP: Jeanie Blake RN BSM MSN MBA

Site Address: Last Routine Inspection Date: 01-23-2020 406 S 15th St

Coshocton OH 43812 Coshocton County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 D1 Intraoral Operating 1 D2 Panoral (only) Non-Operating 2 D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 6

Reg #: 10D15844008 Facility Name: Muskingum Valley Health Centers

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7408919059

IRRP: Jeanie Blake RN BSM MSN MBA

Site Address: Last Routine Inspection Date: MVHC - Zanesville 05-06-2021 235 Kenwood Dr

Coshocton OH 43812 Coshocton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L15844004 Facility Name: Muskingum Valley Health Centers

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7409626111

IRRP: Jeanie Blake RN BSM MSN MBA

Site Address: Last Routine Inspection Date: 04-17-2019 859 N Main St

Malta OH 43758 Morgan County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Operating 1 5

Reg #: 10E15844002 Facility Name: Muskingum Valley Health Centers

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7408919000

IRRP: Jeanie Blake RN BSM MSN MBA

Site Address: Last Routine Inspection Date: Dental Group 09-04-2019 716 Adair Ave

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 D1 Intraoral Operating 5 D2 Panoral (only) Operating 1 7 Reg #: 10J15844006 Facility Name: Muskingum Valley Health Centers

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7408919082

IRRP: Jeanie Blake RN BSM MSN MBA

Site Address: Last Routine Inspection Date: 03-24-2021 2725 Pinkerton Ln

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4

Reg #: 10C08243008 Facility Name: MVHE Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5135397782

IRRP: Makayla Von Bargen RT(R)

Site Address: Last Routine Inspection Date: Monroe Medical Center 05-16-2019 35 Overbrook Blvd

Monroe OH 45050 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A11381001 Facility Name: Nashat Y Gabrail MD Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3304923345

IRRP: Nashat Y Gabrail MD

Site Address: Last Routine Inspection Date: Gabrail Cancer Center 11-20-2018 4875 Higbee Ave NW

Canton OH 44718 Stark County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10L00291040 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6143559050

IRRP: Lauren Mack

Site Address: Last Routine Inspection Date: Close to Home Center Canal Winchester 03-15-2019 7901 Diley Rd Ste 150

Canal Winchester OH 43110 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F00291064 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6147225670

IRRP: Angela Wright DA

Site Address: Last Routine Inspection Date: Livingston Ambulatory Ctr Director of Dental 09-21-2020 Svcs 380 Butterfly Gardens Dr Ste 2E

Columbus OH 43215 Franklin County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 29 D6 Dental CT Operating 1 30

Reg #: 10H00291028 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6143558100

IRRP: Lauren Mack

Site Address: Last Routine Inspection Date: Close to Home Center Columbus 06-25-2020 6435 E Broad St

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10M00291031 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6147225175

IRRP: Dermont Harper RT(R)

Site Address: Last Routine Inspection Date: Childrens Orthopedic Center 10-23-2018 479 Parsons Ave

Columbus OH 43215 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 3

Reg #: 10D00291061 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6143557922

IRRP: Katie Stockmaster RT(R)

Site Address: Last Routine Inspection Date: Close to Home Center Lewis Center 06-24-2020 7853 Pacer Dr

Delaware OH 43015 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 4

Reg #: 10M00291042 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6143557000

IRRP: Tia Wise RT

Site Address: Last Routine Inspection Date: Close To Home Center Dublin on Hospital 08-06-2019 Drive 7450 Hospital Dr Ste 100

Dublin OH 43017 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10F00291027 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6143558400

IRRP: Tia Wise RT

Site Address: Last Routine Inspection Date: Close to Home Center Dublin 10-10-2018 5675 & 5680 Venture Dr

Dublin OH 43017 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 2 M14 Radiographic Slot-Scan (2D/3D Imaging) Operating 2 5

Reg #: 10C00291026 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6143555927

IRRP: Katie Stockmaster RT(R)

Site Address: Last Routine Inspection Date: Close to Home Center Hilliard Radiology 08-29-2019 Andrea Re 4363 All Seasons Dr

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10H00291065 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4195283150

IRRP: Laci Faust

Site Address: Last Routine Inspection Date: Close to Home - Mansfield 08-06-2020 536 S Trimble Rd

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M00291052 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9375787614

IRRP: Tia Wise RT(R)

Site Address: Last Routine Inspection Date: Close to Home Center Marysville 09-30-2020 100 Coleman's Crossing Blvd

Marysville OH 43040 Union County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10D00291057 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6146851811

IRRP: Lauren Mack

Site Address: Last Routine Inspection Date: Healthy New Albany 08-06-2018 150 W Main St

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B00291025 Facility Name: Nationwide Childrens Hospital

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6143558340

IRRP: Becky Shaffer RT(R)

Site Address: Last Routine Inspection Date: Close to Home Center Westerville 11-14-2018 433 N Cleveland Ave

Westerville OH 43081 Delaware County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 2 M1 Radiographic (Stationary) Operating 4 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 M7 Fluoroscopic: Under Table Operating 1 10

Reg #: 10L10870001 Facility Name: Nazim A Jaffer MD

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3307597038

IRRP: Nazim A Jaffer MD

Site Address: Last Routine Inspection Date: Jaffer Medical Clinic 11-12-2019 4308 Belmont Ave

Youngstown OH 44505 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M3 Bone Densitometry Non-Operating 1 2 Reg #: 10A06508005 Facility Name: Neighborhood Health Association of Toledo Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4192557883

IRRP: Alexis Varner

Site Address: Last Routine Inspection Date: Cordelia Martin HC 08-12-2021 615 Division St

Toledo OH 43604 Lucas County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 3 D1 Intraoral Operating 1 D2 Panoral (only) Operating 1 E70 Tube Only Non-Operating 3 8

Reg #: 10M06508008 Facility Name: Neighborhood Health Association of Toledo Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4192145700

IRRP: Alexis Varner

Site Address: Last Routine Inspection Date: Nexus Health Care 09-10-2019 1415 Jefferson Ave

Toledo OH 43604 Lucas County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 4 Reg #: 10F16297001 Facility Name: Network Imaging Associates

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 2162918480

IRRP: Michael J Paley MD

Site Address: Last Routine Inspection Date: 01-15-2020 29001 Cedar Rd Ste 100 - Brainard Pl

Lyndhurst OH 44124 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10B07601001 Facility Name: Neuendorf Company LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3306292888

IRRP: Tracy Neuendorf DO

Site Address: Last Routine Inspection Date: Doctors Pain Clinic 04-01-2021 1011 Boardman Canfield Rd

Youngstown OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10D20462001 Facility Name: Neuro Spine & Wellness Center LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: New Application Phone: 6145057100

IRRP: Kristen Chance RT(R)

Site Address: Last Routine Inspection Date: 07-30-2021 150 E Wilson Bridge Rd Ste130

Worthington OH 43085 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10G17074001 Facility Name: New Albany Surgery Center LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6147751616

IRRP: Tresa Gardner RT(R)

Site Address: Last Routine Inspection Date: New Albany Surgery Center 09-30-2020 5040 Forest Dr Ste 100

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3

Reg #: 10B06541001 Facility Name: New Horizons Surgery Center LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7403755854

IRRP: Terry Myers RT(R)

Site Address: Last Routine Inspection Date: 10-29-2018 1167 Independence Ave

Marion OH 43302 Marion County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10L04692002 Facility Name: Newark Radiation Oncology Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7403443100

IRRP: Haejin Kang PhD

Site Address: Last Routine Inspection Date: 12-05-2019 115 McMillen Dr

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 3 6 Reg #: 10D00635001 Facility Name: Nicholas J Spirtos DO Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3303762300

IRRP: Nicholas J Spirtos DO

Site Address: Last Routine Inspection Date: Northeastern Ohio Fertility Center 02-01-2021 468 E Market St

Akron OH 44304 Summit County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10D16889002 Facility Name: North Olmsted Urgent Care LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2167127818

IRRP: Nicolas A Young DO

Site Address: Last Routine Inspection Date: Lakewood Urgent Care 06-01-2021 11716 Detroit Ave

Lakewood OH 44107 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E16889001 Facility Name: North Olmsted Urgent Care LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4404717083

IRRP: Nicolas A Young DO

Site Address: Last Routine Inspection Date: 07-29-2020 25761 Lorain Rd 1st Flr

North Olmsted OH 44070 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B01664001 Facility Name: Northeast Ohio Center for Pain Mgmt

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4407747246

IRRP: Richard Ray MD

Site Address: Last Routine Inspection Date: 07-14-2020 60 S Pleasant St Ste B

Oberlin OH 44074 Lorain County

Tubes Tube Code Description Status Quantity M7 Fluoroscopic: Under Table Operating 1 1

Reg #: 10F08694009 Facility Name: Northeast Ohio Neighborhood Health Service Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 2168812000

IRRP: Fay D Gaitan RT(R)

Site Address: Last Routine Inspection Date: Norwood Health Center 02-08-2021 1468 E 55th St

Cleveland OH 44103 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 2 D2 Panoral (only) Non-Operating 1 D7 Hand-held Dental Operating 1 4

Reg #: 10E08694006 Facility Name: Northeast Ohio Neighborhood Health Service Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2162317700

IRRP: Brenda Santos

Site Address: Last Routine Inspection Date: East Cleveland Health Center 11-18-2019 15201 Euclid Ave

Cleveland OH 44112 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3 Reg #: 10M08694003 Facility Name: Northeast Ohio Neighborhood Health Service Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2162317700

IRRP: Fay D Gaitan RT(R)

Site Address: Last Routine Inspection Date: Superior Health Center 07-09-2020 12100 Superior Ave

Cleveland OH 44106 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 5

Reg #: 10M08694004 Facility Name: Northeast Ohio Neighborhood Health Service Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2162317700

IRRP: Fay D Gaitan RT(R)

Site Address: Last Routine Inspection Date: Southeast Health Center 12-09-2020 13301 Miles Ave

Cleveland OH 44104 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 2 D1 Intraoral Operating 2 D2 Panoral (only) Non-Operating 1 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Non-Operating 1 7 Reg #: 10M08694005 Facility Name: Northeast Ohio Neighborhood Health Service Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2162317700

IRRP: Fay D Gaitan RT(R)

Site Address: Last Routine Inspection Date: Collinwood Health Center 12-18-2018 15322 St Clair Ave

Cleveland OH 44110 Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Non-Operating 1 D2 Panoral (only) Operating 1 M1 Radiographic (Stationary) Non-Operating 1 5

Reg #: 10M08694007 Facility Name: Northeast Ohio Neighborhood Health Service Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2162317700

IRRP: Fay D Gaitan RT(R)

Site Address: Last Routine Inspection Date: Neon Hough Health Center 05-24-2017 8300 Hough Ave

Cleveland OH 44103 Cuyahoga County

Reg #: 10M01223001 Facility Name: Northeast Ohio Surgery Center LLC

Type: Clinic Expiration Date: 05-31-2020 Facility Status: Active Registrant Phone: 2163609610

IRRP: James Donohue MD

Site Address: Last Routine Inspection Date: 08-02-2018 3755 Orange Pl Ste 102

Beachwood OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 4 Reg #: 10E09811027 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3308234455

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: NOMS Ankle and Foot Care Center 04-22-2019 2120 W State St

Alliance OH 44601 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E09811041 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4402936764

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 04-15-2019 163 W Main St

Andover OH 44003 Ashtabula County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H09811011 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4195472810

IRRP: Amy J Deel RT(R)

Site Address: Last Routine Inspection Date: 12-13-2018 1351 E McPherson Hwy Ste 150

Clyde OH 43410 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J09811022 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4194489728

IRRP: Sonya Morse DDM

Site Address: Last Routine Inspection Date: 04-10-2019 112 Independence Way

Clyde OH 43410 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C09811050 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4194834800

IRRP: Marc D Dolce DPM

Site Address: Last Routine Inspection Date: NOMS Northern Ohio Foot and Ankle 01-21-2021 112 Independence Way

Clyde OH 43410 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E09811037 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3304821960

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 04-26-2019 258 St Rt 14 Ste C

Columbiana OH 44408 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H09811044 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4196266161

IRRP: Anna Tutlow RT(R)

Site Address: Last Routine Inspection Date: NOMS Imaging Euclid 10-08-2020 26151 Euclid Ave Ste 130

Euclid OH 44132 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 M5 Mammographic Non-Operating 1 2

Reg #: 10E09811017 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4193559800

IRRP: John M Bondra DO

Site Address: Last Routine Inspection Date: NOMS Healthcare - Fremont 02-11-2019 629 Bartson Rd

Fremont OH 43420 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J09811021 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4195592817

IRRP: Joseph P Spirnak MD

Site Address: Last Routine Inspection Date: NOMS Fremont Imaging 11-10-2020 1479 N River Rd Ste 130

Fremont OH 43420 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10K09811045 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4193328105

IRRP: Anna Tutlow RT(R)

Site Address: Last Routine Inspection Date: NOMS Podiatry Fremont 08-10-2020 1900 Hayes Ave

Fremont OH 43420 Sandusky County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M09811024 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4198557772

IRRP: Vera Crouch

Site Address: Last Routine Inspection Date: NOMS Genoa Medical Center 07-05-2018 22614 W St Rt 51

Genoa OH 43430 Ottawa County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G09811053 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4404423113

IRRP: Robert D Weaver DPM

Site Address: Last Routine Inspection Date: 08-10-2021 6551 Wilson Mills Ste 104

Mayfield Village OH 44143 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09811018 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4408852100

IRRP: Kimberly Schneider RT(R)(BD)

Site Address: Last Routine Inspection Date: 07-22-2020 15299 E Bagley Rd Ste 100

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10K09811023 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4408162735

IRRP: James R Holfinger DPM

Site Address: Last Routine Inspection Date: NOMS Southwest Foot and Ankle 07-10-2018 7255 Old Oak Blvd

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A09811047 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4402609970

IRRP: Anna Tutlow RT(R)

Site Address: Last Routine Inspection Date: NOMS Allegiance Imaging - Middleburg 03-25-2021 Heights 19250 Bagley Rd Ste 202

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2 Reg #: 10E09811029 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3306520535

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 06-27-2019 720 Youngstown Warren Rd

Niles OH 44446 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C09811049 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4196600099

IRRP: Marc D Dolce DPM

Site Address: Last Routine Inspection Date: NOMS Northern Ohio Foot and Ankle 01-20-2021 368 Milan Ave Ste A

Norwalk OH 44857 Huron County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F09811005 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4196635000

IRRP: Amanda C Mantz RT(R)

Site Address: Last Routine Inspection Date: Access Orthopaedics 07-15-2019 280 Benedict Ave

Norwalk OH 44857 Huron County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09811019 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant that has moved Phone: 4408421570

IRRP: Kimberly Schneider RT(R)(BD)

Site Address: Last Routine Inspection Date: 05-03-2017 6820 Ridge Rd

Parma OH 44129 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10D09811051 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4402014205

IRRP: Anna Tutlow RT(R)

Site Address: Last Routine Inspection Date: NOMS Allegiance Imaging 05-11-2021 6800 Ridge Rd Ste 130

Parma OH 44129 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10E09811030 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307071220

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 05-29-2019 3262 Center Rd

Poland OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09811036 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3302977330

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 05-09-2019 444 S Meridian St Ste 7

Ravenna OH 44266 Portage County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E09811033 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3303378870

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 04-29-2019 2380 Southeast Blvd

Salem OH 44460 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B09811025 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4195025941

IRRP: Anna Tutlow RT(R)

Site Address: Last Routine Inspection Date: NOMS Imaging Sandusky 01-07-2019 2800 Hayes Ave Bldg C & G

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2 Reg #: 10E09811026 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4195025944

IRRP: Anna Tutlow RT(R)

Site Address: Last Routine Inspection Date: NOMS Women's Center Sandusky 05-24-2019 2500 Strub Rd Ste 220 Bldg C

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10C09811048 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4196262990

IRRP: Marc D Dolce DPM

Site Address: Last Routine Inspection Date: NOMS Northern Ohio Foot and Ankle 01-20-2021 3006 Campbell St Ste 5

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F09811052 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 4196635000

IRRP: Anna Tutlow RT(R)

Site Address: Last Routine Inspection Date: NOMS Healthcare 2500 W Strub Rd Ste 110

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10E09811004 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4196271471

IRRP: John S Liebenthal DPM

Site Address: Last Routine Inspection Date: 10-09-2019 2500 W Strub Rd Ste 100

Sandusky OH 44870 Erie County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J09811012 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4409306020

IRRP: Joseph P Spirnak MD

Site Address: Last Routine Inspection Date: NOMS Premium Imaging Center - Hoag 08-09-2019 5319 Hoag Dr Ste 130

Sheffield Village OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4

Reg #: 10E09811038 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307071360

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 05-06-2019 924 Youngstown Poland Rd

Struthers OH 44471 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09811028 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3308470072

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 05-24-2019 4696 Mahoning Ave

Warren OH 44483 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E09811039 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3303995577

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 05-24-2019 1700 E Market St Ste 105

Warren OH 44483 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A09811046 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2167658390

IRRP: Anna Tutlow RT(R)

Site Address: Last Routine Inspection Date: NOMS Allegiance Imaging 10-08-2020 4760 Richmond Rd Ste 300

Warrensville OH 44128 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09811043 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4199353003

IRRP: Christopher J Bohach DPM

Site Address: Last Routine Inspection Date: 03-15-2019 240 W Walton St Ste B

Willard OH 44890 Huron County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E09811031 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307588808

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 05-03-2019 1265 Boardman Canfield Rd

Youngstown OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E09811032 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3302702700

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 06-27-2019 1450 Canfield Niles Rd

Youngstown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09811035 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307474888

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: Regional Referral Center 08-03-2021 1201 Belmont Ave

Youngstown OH 44505 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E09811042 Facility Name: Northern Ohio Medical Specialists LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3306298800

IRRP: Mark S Smesko DPM

Site Address: Last Routine Inspection Date: 05-07-2019 8175 Market St

Youngstown OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 2 M1 Radiographic (Stationary) Operating 1 3

Reg #: 10J15655001 Facility Name: Northern Ohio Regional Cancer Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 2162654580

IRRP: Jon S Prescott MD

Site Address: Last Routine Inspection Date: 02-11-2021 5260 Smith Rd

Brook Park OH 44142 Cuyahoga County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 4 Reg #: 10M18731001 Facility Name: Northpointe Surgical Suites LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7404871823

IRRP: Kathie Hendershot RT(R)

Site Address: Last Routine Inspection Date: 11-01-2019 3250 Northpointe Dr

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10B07939001 Facility Name: Northwest Center for Urogynecology

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4198937134

IRRP: Andrew Croak DO

Site Address: Last Routine Inspection Date: 05-11-2020 28442 E River Rd Ste 111

Perrysburg OH 43551 Wood County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10D01362005 Facility Name: Northwest Ohio Orthopedics and Sports Medicine Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4177280110

IRRP: Bruce E Heck MD

Site Address: Last Routine Inspection Date: 03-05-2019 1069 Klotz Rd Ste A

Bowling Green OH 43402 Wood County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10M01362003 Facility Name: Northwest Ohio Orthopedics and Sports Medicine Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4194271984

IRRP: Bruce E Heck MD

Site Address: Last Routine Inspection Date: 06-20-2019 15054 E US Hwy 224

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M01362001 Facility Name: Northwest Ohio Orthopedics and Sports Medicine Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4194271984

IRRP: Bruce E Heck MD

Site Address: Last Routine Inspection Date: 08-05-2020 7595 Hancock County Rd 236

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10D01362004 Facility Name: Northwest Ohio Orthopedics and Sports Medicine Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4195592790

IRRP: Bruce E Heck MD

Site Address: Last Routine Inspection Date: 03-08-2019 605 Third Ave Bldg A Ste A

Fremont OH 43420 Sandusky County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10M01362002 Facility Name: Northwest Ohio Orthopedics and Sports Medicine Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4194486848

IRRP: Bruce E Heck MD

Site Address: Last Routine Inspection Date: 07-21-2021 3101 W US Hwy 224

Tiffin OH 44883 Seneca County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10G15552001 Facility Name: Northwest Ohio Urgent Care Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4198910525

IRRP: Arshad Husain MD

Site Address: Last Routine Inspection Date: 10-18-2019 1015 Conant St

Maumee OH 43537 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G15552002 Facility Name: Northwest Ohio Urgent Care Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4197266500

IRRP: Arshad Husain MD

Site Address: Last Routine Inspection Date: NW Ohio Urgent Care Inc - North Toledo 12-01-2020 Branch 5911 Benore Rd

Toledo OH 43612 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L16544001 Facility Name: Northwest Primary Care Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4195478555

IRRP: Dennis Furlong DO

Site Address: Last Routine Inspection Date: 07-09-2019 455 W McPherson Hwy

Clyde OH 43410 Sandusky County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10M20254001 Facility Name: Norwalk Cardiac Thoracic & Endovascular Therapies

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4196681155

IRRP: Barry J Zadeh MD

Site Address: Last Routine Inspection Date: 07-14-2020 3591 Reserve Commons Dr Ste 201

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10M19496001 Facility Name: NWO Surgery Center LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4194273040

IRRP: Jodi Hamilton

Site Address: Last Routine Inspection Date: 07-21-2021 15028 St Rt 224 East

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 3 Reg #: 10B06378001 Facility Name: Obscare LLC Liberty Urgent Care

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5137797716

IRRP: Philip C Lam MD

Site Address: Last Routine Inspection Date: 06-08-2021 7324 Yankee Rd Ste B

Liberty Township OH 45040 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 2

Reg #: 10D19156013 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3307243345

IRRP: Laura Grimm RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Akron 01-06-2021 1450 Firestone Pkwy Ste F

Akron OH 44301 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C19156010 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3304536050

IRRP: Linda Cantrell

Site Address: Last Routine Inspection Date: Concentra Medical Centers-Canton 03-19-2019 4449 Whipple Ave NW

Canton OH 44718 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D19156014 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5138411122

IRRP: Daryl Barnes RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Norwood 01-21-2021 4623 Wesley Ave Ste C

Cincinnati OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D19156020 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: New Application Phone: 5137712233

IRRP: Deborah Hostiuck RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Cincinnati 2884 E Kemper Rd

Cincinnati OH 45241 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D19156017 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2164269020

IRRP: Sara Neal

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Cleveland 03-23-2021 Marginal 5500 S Marginal Rd

Cleveland OH 44103 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D19156018 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2167492730

IRRP: Alysia Cirino RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Cleveland 03-03-2021 Hinkley 4660 Hinkley Industrial Pkwy

Cleveland OH 44109 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C19156003 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6148635188

IRRP: Shaun Lewis

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Columbus 01-29-2019 East 4849 E Main St

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C19156006 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6148501476

IRRP: Tammy Min

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Columbus 01-17-2019 West 4821 Roberts Rd

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G19156001 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9374490800

IRRP: Patricia Frederickson

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Dayton South 05-25-2021 1435 Cincinnati St Ste 100

Dayton OH 45417 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D19156019 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: New Application Phone: 9372288132

IRRP: Emma WIlson RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Dayton 228 Troy St

Dayton OH 45404 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D19156011 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9377468795

IRRP: Tency Barrett

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Franklin 02-13-2020 333 Conover Dr Ste E

Franklin OH 45005 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C19156009 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4198654448

IRRP: Matthew Jordan RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Holland 03-11-2019 7010 Spring Meadows Dr W Ste 101

Holland OH 43528 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C19156007 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9372376231

IRRP: Rhonda Weaver RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Huber Heights 03-12-2019 8701 Old Troy Pike

Huber Heights OH 45424 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D19156016 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4407350438

IRRP: Nicole Flender RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Oakwood 03-23-2021 Village 7730 First Place Ste D

Oakwood Village OH 44146 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C19156008 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4196976850

IRRP: Deb Bodi RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Oregon 02-08-2019 3028 Navarre Ave

Oregon OH 43616 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D19156015 Facility Name: Occupational Health Centers of Ohio PA Co

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4409754185

IRRP: Jennifer Boyd RT(R)

Site Address: Last Routine Inspection Date: Concentra Medical Centers - Willoughby 03-16-2021 3900 Ben Hur

Willoughby OH 44094 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M02132001 Facility Name: Occupational Medicine Center of Tuscarawas

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3303399211

IRRP: Nicholas Varrati MD

Site Address: Last Routine Inspection Date: 12-23-2020 306 W High Ave

New Philadelphia OH 44663 Tuscarawas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2 Reg #: 10A11342003 Facility Name: Ohio Cardiology Associates Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2168615747

IRRP: Ashis K Rakhit MD

Site Address: Last Routine Inspection Date: Ashis K Rakhit MD Inc 02-03-2020 2322 E 22nd St Ste 305

Cleveland OH 44115 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1

Reg #: 10D16182001 Facility Name: Ohio Head and Neck Surgeons Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3304922844

IRRP: Darrell R Smith MD

Site Address: Last Routine Inspection Date: 08-22-2018 4912 Higbee Ave NW Ste 200

Canton OH 44718 Stark County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1

Reg #: 10M02887006 Facility Name: Ohio Hills Health Services

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7404720757

IRRP: Brandy Stephens

Site Address: Last Routine Inspection Date: Monroe Family Health Center 02-23-2021 37984 Airport Rd

Woodsfield OH 43793 Monroe County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L01147010 Facility Name: Ohio North East Health Systems Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3303936446

IRRP: Mark Haddle

Site Address: Last Routine Inspection Date: Falls Family Care 12-09-2019 175 E Broad St

Newton Falls OH 44444 Trumbull County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4

Reg #: 10A01147002 Facility Name: Ohio North East Health Systems Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3307479551

IRRP: Mark Haddle

Site Address: Last Routine Inspection Date: Warren West Community Health 12-28-2018 716 Tod Ave SW

Warren OH 44485 Trumbull County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Non-Operating 1 D2 Panoral (only) Operating 1 5

Reg #: 10F01147001 Facility Name: Ohio North East Health Systems Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3307479551

IRRP: Mark Haddle

Site Address: Last Routine Inspection Date: Youngstown Community Health Center 02-14-2019 726 Wick Ave

Youngstown OH 44505 Mahoning County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4 Reg #: 10E01716001 Facility Name: Ohio Orthopedic Surgery Institute LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6148278777

IRRP: Ashley Williams RT

Site Address: Last Routine Inspection Date: 10-11-2018 4605 Sawmill Rd Ste 101

Columbus OH 43220 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 5 7

Reg #: 10C01716002 Facility Name: Ohio Orthopedic Surgery Institute LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6149916900

IRRP: Ashley Williams RT

Site Address: Last Routine Inspection Date: Grove City Surgery Center 05-10-2021 1325 Stringtown Rd Ste 100

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 3

Reg #: 10K16486001 Facility Name: Ohio Pain Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4195171351

IRRP: Amar N Goyal MD

Site Address: Last Routine Inspection Date: 07-25-2018 3900 Sunforest Ct Ste 132

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10L15789001 Facility Name: Ohio Pain Clinic LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9374342226

IRRP: Amol Soin MD

Site Address: Last Routine Inspection Date: 05-22-2019 7076 Corporate Way Ste 201

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H04802001 Facility Name: Ohio Rehab Center II Inc

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 3304989865

IRRP: Ali Shakir MD

Site Address: Last Routine Inspection Date: 04-11-2019 6651 Frank Ave NW

North Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10L15809001 Facility Name: Ohio Sinus Institute

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6147719871

IRRP: Boris Karanfilov MD

Site Address: Last Routine Inspection Date: ENT & Sinus Institute of Ohio 05-12-2020 5378 Avery Rd

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10C18197001 Facility Name: Ohio Specialty Surgical Suites LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 2342099397

IRRP: April Croyle

Site Address: Last Routine Inspection Date: 04-08-2021 7442 Frank Ave NW Ste 2200

North Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10D15334001 Facility Name: Ohio State Pain Management Center LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7405228755

IRRP: Sachida N Manocha MD

Site Address: Last Routine Inspection Date: Columbus Interventional Pain Center 06-04-2020 78 Messimer Dr

Newark OH 43202 Licking County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10K15334002 Facility Name: Ohio State Pain Management Center LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6142627246

IRRP: Sachida N Manocha MD

Site Address: Last Routine Inspection Date: Worthington Interventional Pain Center 12-30-2020 85 E Wilson Bridge Rd

Worthington OH 43085 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10H05500083 Facility Name: Ohio State University

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 6142932090

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: OSU Eye & Ear Institute @ Gowdy Field 10-24-2018 915 Olentangy River Rd

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M8 Fluoroscopic: Above Table Operating 1 2

Reg #: 10F05500087 Facility Name: Ohio State University

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6142572249

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: Ohio State University Care Point East 06-29-2021 543 Taylor Ave

Columbus OH 43203 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 3 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 9 Reg #: 10E05500088 Facility Name: Ohio State University

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6143664263

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: OSU Hand and Upper Extremity Center 04-18-2019 915 Olentangy River Rd Ste 3200

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 4

Reg #: 10A05500098 Facility Name: Ohio State University

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6142930250

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: OSU Outpatient Care-Upper Arlington 09-17-2019 1800 Zollinger Rd

Columbus OH 43221 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3 Reg #: 10B05500100 Facility Name: Ohio State University

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6146882599

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: Jameson Crane Sports Medicine 06-08-2020 2835 Fred Taylor Dr

Columbus OH 43202 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 5 10

Reg #: 10A05500105 Facility Name: Ohio State University

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6146887284

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: James Mammography at Worthington 05-17-2019 Heights 160 W Wilson Bridge Rd

Columbus OH 43085 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10H05500066 Facility Name: Ohio State University

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 6142934772

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: JamesCare at Easton Town Center 07-16-2020 4141 Easton Loop E

Columbus OH 43219 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10K05500052 Facility Name: Ohio State University

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6142921165

IRRP: Jason Rule

Site Address: Last Routine Inspection Date: Biggs & Schumacher Athletic Training 12-20-2018 Facility 535 & 615 Irving Schottenstein Dr

Columbus OH 43201 Franklin County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Operating 2 2

Reg #: 10J05500037 Facility Name: Ohio State University

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6142938314

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: OSU Imaging Center @ Martha 03-03-2021 Moorehouse Plaza 2050 Kenny Rd Ste 1073

Columbus OH 43221 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M4 C.T. (Computerized Tomography) Operating 2 4 Reg #: 10M05500069 Facility Name: Ohio State University

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6146887284

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: James Care Comprehensive Breast Center 03-19-2021 1145 Olentangy River Rd

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 9 M6 Stereotactic Biopsy Operating 1 S3 Cabinet System exclude admittance Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 19

Reg #: 10K05500106 Facility Name: Ohio State University

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6146887284

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: The James Mammography Dublin 03-25-2021 6790 Perimeter Dr Ste 300

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10M05500070 Facility Name: Ohio State University

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6142930054

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: OSU Outpatient Care Stoneridge 05-13-2021 3900 Stoneridge Ln

Dublin OH 43017 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L05500084 Facility Name: Ohio State University

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6142938314

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: CarePoint @ Gahanna 02-05-2019 920 N Hamilton Rd

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4

Reg #: 10A05500109 Facility Name: Ohio State University

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6146887284

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: The James Mammography Grove City 04-27-2021 5775 N Meadows Dr Ste 5

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10K05500107 Facility Name: Ohio State University

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6146887284

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: The James Mammography Mill Run 01-28-2021 3641 Ridge Mill Dr

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10C05500085 Facility Name: Ohio State University

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6142938875

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: CarePoint @ Lewis Center 07-15-2020 6515 Pullman Dr

Lewis Center OH 43035 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4

Reg #: 10D05500094 Facility Name: Ohio State University

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6146856347

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: OSUWMC Philip Heit Center - New Albany 08-06-2018 150 W Main St

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10F05500110 Facility Name: Ohio State University

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 6146887284

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: The James Mammography Pickerington 1025 Refugee Rd Ste 200 D

Pickerington OH 43147 Fairfield County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10A05500108 Facility Name: Ohio State University

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6146887284

IRRP: Dramane Konate MS

Site Address: Last Routine Inspection Date: The James Mammography Westerville 05-25-2021 465 N Cleveland Ave Ste 230

Westerville OH 43082 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10G05500111 Facility Name: Ohio State University

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 6146882599

IRRP: Dramane Konate

Site Address: Last Routine Inspection Date: The OSU Outpatient Health And Surgery 6100 N Hamilton Rd

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 4 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Operating 1 10

Reg #: 10L15763001 Facility Name: Ohio Valley Ambulatory Surgery Center LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7404234684

IRRP: Steve Pratt

Site Address: Last Routine Inspection Date: 11-28-2018 608 Washington Blvd

Belpre OH 45714 Washington County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10E19801002 Facility Name: OhioHealth Berger Hospital LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7404208244

IRRP: David P Raiken MD

Site Address: Last Routine Inspection Date: OhioHealth Imaging and Laboratory 01-02-2020 Services 1434 Circleville Plaza Dr

Circleville OH 43113 Pickaway County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10E19801004 Facility Name: OhioHealth Berger Hospital LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7404208244

IRRP: David P Raiken MD

Site Address: Last Routine Inspection Date: OhioHealth Imaging Services 05-15-2020 9085 Southern St

Orient OH 43146 Pickaway County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10C00493023 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4195268644

IRRP: Robert J Napoli BS CNMT

Site Address: Last Routine Inspection Date: MedCentral Emergency Care Ashland 03-11-2021 1720 OhioHealth Way

Ashland OH 44805 Ashland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10B04150035 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant that has moved Phone: 6145442270

IRRP: Tristan Haberman RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Sports Medicine at Nationwide 03-19-2019 Arena 200 Nationwide Blvd

Columbus OH 43215 Franklin County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10H04150062 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6145861220

IRRP: Stephanie Barger RT(R)

Site Address: Last Routine Inspection Date: Max Sports Medicine - Olentangy 01-02-2019 3705 Olentangy River Rd Ste 260

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K04150064 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6145336648

IRRP: Susan Felty

Site Address: Last Routine Inspection Date: OhioHealth Primary Care Physicians - 03-12-2019 Welcome Pl 2222 Welcome Pl

Columbus OH 43209 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 2

Reg #: 10L04150067 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6147882099

IRRP: Brittany R Lytle RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Heart and Vascular Physicians 01-02-2019 3705 Olentangy River Rd Ste 100

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1

Reg #: 10J04150117 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6147884189

IRRP: Nicole Lyons

Site Address: Last Routine Inspection Date: OhioHealth Emergency Care Center Obetz 07-20-2021 4335 Alum Creek Dr

Columbus OH 43207 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10J04150014 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6145663810

IRRP: Charlie Tomlin RT(R)

Site Address: Last Routine Inspection Date: McConnell Spine Sport 04-12-2021 3773 Olentangy River Rd

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10H04150017 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6144573895

IRRP: David C Taylor

Site Address: Last Routine Inspection Date: Jasonway Imaging 11-16-2020 810 Jasonway Ave 2nd Fl Imaging

Columbus OH 432142329 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 3 Reg #: 10J09111013 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6147889084

IRRP: Paula Laporte RT(R)

Site Address: Last Routine Inspection Date: Lewis Center Medical Imaging 06-10-2020 7853 Pacer Dr

Delaware OH 43015 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10C09111014 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7406151100

IRRP: Dawn Doubikin RT(R)

Site Address: Last Routine Inspection Date: Delaware Medical Health Center 10-08-2019 801 OhioHealth Blvd

Delaware OH 43015 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 M6 Stereotactic Biopsy Operating 1 S3 Cabinet System exclude admittance Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 3 12 Reg #: 10G04150056 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6145661433

IRRP: Diedra Hunter BS RT(R)

Site Address: Last Routine Inspection Date: Max Sports Medicine - Dublin 04-05-2019 6955 Hospital Dr

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E04150074 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6145664427

IRRP: Christie Woodruff CRE

Site Address: Last Routine Inspection Date: Riverside Rad Onc at Dublin Hospital 11-05-2020 7450 Hospital Dr Ste160

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 4

Reg #: 10M04150034 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6145662837

IRRP: David C Taylor

Site Address: Last Routine Inspection Date: Dublin Health Center 08-05-2020 6955 Hospital Dr

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10H04150020 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6145660514

IRRP: Rachel Marting RT(R)

Site Address: Last Routine Inspection Date: Gahanna Health Center 10-17-2019 765 N Hamilton Rd

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10E04150023 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6145440235

IRRP: Lynn Garner

Site Address: Last Routine Inspection Date: Southwest Health Center Imaging 02-20-2020 2030 Stringtown Rd

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Non-Operating 1 M5 Mammographic Operating 1 6 Reg #: 10J04150091 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6145441134

IRRP: Shawn Kuco

Site Address: Last Routine Inspection Date: Hilliard Health Center 01-13-2020 4343 All Seasons Dr

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10H04150113 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6147884189

IRRP: Jennifer Snyder RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Emergency Care Center Hilliard 01-14-2021 3880 Fishinger Blvd

Hilliard OH 43206 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10L00493019 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4195268644

IRRP: Robert J Napoli BS CNMT

Site Address: Last Routine Inspection Date: Surgery Center/Imaging Ontario/Urgent 05-30-2019 Care Ontario 1030 Cricket Lane & additional location

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 6

Reg #: 10J04150119 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6145333004

IRRP: Joseph Kirk RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Emergency Care Center New 06-29-2018 Albany 5868 N Hamilton Rd

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10G00493022 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4195268644

IRRP: Robert J Napoli BS CNMT

Site Address: Last Routine Inspection Date: MedCentral OhioHealth Emergency Care - 11-05-2020 Ontario 1365 N Lexington Springmill Rd

Ontario OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10F04150097 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6147884000

IRRP: Nicole Lyons RT(R)

Site Address: Last Routine Inspection Date: Pickerington Medical Campus Imaging 10-11-2018 Services 1010 Refugee Rd

Pickerington OH 43147 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 M8 Fluoroscopic: Above Table Operating 1 9 Reg #: 10J04150118 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6145333004

IRRP: Joseph Kirk RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Emergency Care Center Powell 05-18-2021 4141 N Hampton Dr

Powell OH 43065 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10J04150116 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6147889320

IRRP: Nicole Lyons

Site Address: Last Routine Inspection Date: OhioHealth Emergency Care Center 03-15-2021 Reynoldsburg 6960 E Main St

Reynoldsburg OH 43068 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10H04150018 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6145333105

IRRP: Emilee Palmer

Site Address: Last Routine Inspection Date: Westerville Medical Campus 01-23-2019 300 Polaris Pkwy Ste 1000

Westerville OH 43082 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 3 M6 Stereotactic Biopsy Operating 1 M8 Fluoroscopic: Above Table Operating 1 S3 Cabinet System exclude admittance Operating 1 14

Reg #: 10H04150016 Facility Name: OhioHealth Corporation

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 6145660911

IRRP: Lynn Garner RT(R)

Site Address: Last Routine Inspection Date: Grant/Riverside Health Center East 01-13-2020 4882 E Main St Ste 100

Whitehall OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 6 Reg #: 10J04025012 Facility Name: OhioHealth Corporation Sheltering Arms Foundation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7405664628

IRRP: Heather Rockhold

Site Address: Last Routine Inspection Date: OhioHealth O'Bleness Castrop Center 07-07-2021 75 Hospital Dr

Athens OH 45701 Athens County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10J04025013 Facility Name: OhioHealth Corporation Sheltering Arms Foundation

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7407535628

IRRP: Debra Shirley

Site Address: Last Routine Inspection Date: OhioHealth Nelsonville Health Center 07-09-2021 11 John Lloyd Evans Memorial Dr

Nelsonville OH 45764 Athens County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 3 Reg #: 10E09725024 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5672417756

IRRP: Mikki D Montgomery

Site Address: Last Routine Inspection Date: OhioHealth Orthopedics & Sports Medicine 07-17-2018 Physician 45 Amberwood Pkwy

Ashland OH 44805 Ashland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M09725036 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7405927144

IRRP: Tracey Mingus RT(R)

Site Address: Last Routine Inspection Date: 08-11-2020 2 Health Center Dr

Athens OH 45701 Athens County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M09725037 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7405942456

IRRP: Tracey Mingus RT(R)

Site Address: Last Routine Inspection Date: 08-11-2020 265 W Union St Ste A

Athens OH 45701 Athens County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G09725040 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 7405664628

IRRP: Tracey Mingus RT(R)

Site Address: Last Routine Inspection Date: Heritage College Orthop 75 Hospital Dr Ste 140

Athens OH 45701 Athens County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K09725035 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7404776511

IRRP: Christine Toscano

Site Address: Last Routine Inspection Date: Orthopaedic & Sports Medicine Center 06-08-2020 130 Morris Rd

Circleville OH 43113 Pickaway County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A09725008 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6145441846

IRRP: Patricia Smith RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Orthopedic Surgeons 01-12-2021 5141 W Broad St Ste 150

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F09725010 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6147885021

IRRP: Crystal Hostetler RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Orthopedic Surgeons 11-18-2020 303 E Town St

Columbus OH 43215 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 3

Reg #: 10M09725011 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6144574880

IRRP: Christopher D Curry RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Neurological Physicians 03-10-2020 931 Chatham Ln

Columbus OH 43221 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10J09725021 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6147885128

IRRP: Lisa Tincher RT(R)(BD)

Site Address: Last Routine Inspection Date: OhioHealth Arthritis & Osteoporosis 09-15-2020 Physicians 303 E Town St 3rd flr

Columbus OH 43215 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10M09725005 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6145667777

IRRP: Erin Brandel

Site Address: Last Routine Inspection Date: Orthopaedic Trauma & Reconstructive 05-21-2019 Surgeons 285 E State St Ste 500

Columbus OH 43215 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H09725033 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6145440054

IRRP: Allison Navarrete RT(R)

Site Address: Last Routine Inspection Date: Sports Medicine and Primary Care 10-04-2019 2030 Stringtown Rd Ste 200

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L09725022 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6145441401

IRRP: Jan Almond RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Orthopedic Surgeons 07-27-2020 4343 All Seasons Dr

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M09725031 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7406544942

IRRP: Kelly Kunkler

Site Address: Last Routine Inspection Date: 07-20-2018 1638 N Memorial Dr

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J09725034 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4195203500

IRRP: Kristin Slone RT(R)

Site Address: Last Routine Inspection Date: 08-06-2020 231 E Main St

Lexington OH 44904 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E09725025 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5672417771

IRRP: Mikki D Montgomery

Site Address: Last Routine Inspection Date: OhioHealth Orthopedics & Sports Medicine 07-03-2018 Physician 2180 Stumbo Rd

Ontario OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B09725028 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6148341500

IRRP: Amber Stadwick RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Orthopedic & Sports Medicine 10-17-2019 Physicians 417 Hill Rd N

Pickerington OH 43147 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F09725032 Facility Name: OhioHealth Physician Group Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6145333280

IRRP: Sherry Fabrizio RT(R)

Site Address: Last Routine Inspection Date: OhioHealth Phys Grp Sports Medicine & 08-09-2019 Primary Care 300 Polaris Pkwy Ste 2150

Westerville OH 43082 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A16811007 Facility Name: OhioHealth Urgent Care LLC - Columbus

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6144370278

IRRP: Ashley Vermillion RT(R)

Site Address: Last Routine Inspection Date: 08-18-2020 895 W Third Ave

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C16811003 Facility Name: OhioHealth Urgent Care LLC - Delaware

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7405492700

IRRP: Ambarish Patel RT(R)

Site Address: Last Routine Inspection Date: 01-22-2021 1710 Columbus Pike Ste 214

Delaware OH 43015 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C16811001 Facility Name: OhioHealth Urgent Care LLC - Dublin

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6149230300

IRRP: Ambarish Patel RT(R)

Site Address: Last Routine Inspection Date: 11-05-2019 6905 Hospital Dr Ste 130

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C16811002 Facility Name: OhioHealth Urgent Care LLC - Grove City

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6145440235

IRRP: Ambarish Patel RT(R)

Site Address: Last Routine Inspection Date: 07-13-2020 2030 Stringtown Rd

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J16811006 Facility Name: OhioHealth Urgent Care LLC - Hilliard

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6145412676

IRRP: Ambarish Patel RT(R)

Site Address: Last Routine Inspection Date: 01-21-2020 4343 All Seasons Dr Ste 160

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M16811010 Facility Name: OhioHealth Urgent Care LLC - Marion

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7406924440

IRRP: Ambarish Patel RT(R)

Site Address: Last Routine Inspection Date: 09-20-2018 130 University Dr Ste 1300

Marion OH 43302 Marion County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C16811004 Facility Name: OhioHealth Urgent Care LLC - New Albany

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6147759870

IRRP: Ashley Vermillion RT(R)

Site Address: Last Routine Inspection Date: 09-06-2019 5610 N Hamilton Rd

Columbus OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B16811008 Facility Name: OhioHealth Urgent Care LLC - Polaris

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6148171120

IRRP: Ashley Vermillion RT(R)

Site Address: Last Routine Inspection Date: 04-22-2021 1120 Polaris Pkwy Ste 100

Columbus OH 43240 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C16811005 Facility Name: OhioHealth Urgent Care LLC - Reynoldsburg

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6145226900

IRRP: Ashley Vermillion RT(R)

Site Address: Last Routine Inspection Date: 05-28-2019 2014 Baltimore Reynoldsburg Rd

Reynoldsburg OH 43068 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E06776006 Facility Name: Oncology Hematology Care Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5137512273

IRRP: Julia Chambers

Site Address: Last Routine Inspection Date: 01-09-2019 71 E Hollister St

Cincinnati OH 45219 Hamilton County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10H06776004 Facility Name: Oncology Hematology Care Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5138602692

IRRP: Nadeem Khan MS DABR

Site Address: Last Routine Inspection Date: 01-23-2019 2960 Mack Rd Ste 105

Fairfield OH 45014 Butler County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 2

Reg #: 10G20243004 Facility Name: ONsite Mammography LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 6144574827

IRRP: Cindy Odekirk RT(R)(M)

Site Address: Last Routine Inspection Date: Avina Women¶s Care 1315 W Lane Ave

Columbus OH 43221 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10A20243002 Facility Name: ONsite Mammography LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6144591000

IRRP: Cindy Odekirk RT(R)(M)

Site Address: Last Routine Inspection Date: Avina Womens Care - Dublin 06-24-2021 5150 Bradenton Ave Ste A

Dublin OH 43017 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10M20243001 Facility Name: ONsite Mammography LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6144591000

IRRP: Cindy Odekirk RT(R)(M)

Site Address: Last Routine Inspection Date: Avina Women¶s Care - Westerville 04-06-2021 507 Executive Campus Dr Ste 160

Westerville OH 43082 Delaware County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10C20243003 Facility Name: ONsite Mammography LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4403332246

IRRP: Cindy Odekirk RT(R)(M)

Site Address: Last Routine Inspection Date: Premier Physicians - Westlake 01-25-2021 25200 Center Ridge Rd Ste 1500

Westlake OH 44145 Cuyahoga County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1

Reg #: 10L19415001 Facility Name: Onyx & Pearl Surgical Suites LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6149180030

IRRP: Josue P Gabriel MD

Site Address: Last Routine Inspection Date: 04-28-2021 465 N Cleveland Ave Ste 150

Westerville OH 43082 Delaware County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10E17617001 Facility Name: Oracle Pain Clinic Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6148761618

IRRP: Samuel Essandoh MD

Site Address: Last Routine Inspection Date: 11-29-2018 4523 Cemetery Rd

Hilliard OH 43026-1105 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10M18728001 Facility Name: Orange ASC Ltd

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 6142552900

IRRP: Carly McCord RT(R)

Site Address: Last Routine Inspection Date: Orthopedic One 06-06-2019 3600 Stelzer Rd Ste 100

Columbus OH 43219 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 3 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 5

Reg #: 10E16050002 Facility Name: Ortho Spine Rehabilitation Center Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6143898882

IRRP: Tim Chowdhury MD

Site Address: Last Routine Inspection Date: 05-11-2021 314 W Center St

Marion OH 43302 Marion County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10C16050001 Facility Name: Ortho-Spine Rehabilitation Center Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6147938817

IRRP: Tim Chowdhury MD

Site Address: Last Routine Inspection Date: 06-02-2021 7219 Sawmill Rd Ste 106

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10A19201004 Facility Name: OrthoCincy Orthopaedics & Sports Medicine PSC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: New Application Phone: 8593012663

IRRP: Raquel Nash

Site Address: Last Routine Inspection Date:

8251 Pine Rd Ste 212

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E19201006 Facility Name: OrthoCincy Orthopaedics & Sports Medicine PSC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 5132625894

IRRP: Andrea Cooper RT(R)

Site Address: Last Routine Inspection Date:

4355 Ferguson Dr

Cincinnati OH 45245 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10F19201007 Facility Name: OrthoCincy Orthopaedics & Sports Medicine PSC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 5136051717

IRRP: Andrea Cooper RT(R)

Site Address: Last Routine Inspection Date:

6620 Clough Pike

Cincinnati OH 45244 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10F19201008 Facility Name: OrthoCincy Orthopaedics & Sports Medicine PSC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 8593012663

IRRP: Raquel Nash

Site Address: Last Routine Inspection Date:

2123 Auburn Ave Ste 630

Cincinnati OH 45219 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E19201005 Facility Name: OrthoCincy Orthopaedics & Sports Medicine PSC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5136051818

IRRP: Jennifer Rice RT (R)

Site Address: Last Routine Inspection Date: 07-12-2021 7798 Discovery Dr Ste A

West Chester OH 45069 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H19201009 Facility Name: OrthoCincy Orthopaedics & Sports Medicine PSC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: New Application Phone: 5136051717

IRRP: Jennifer Rice RT(R)

Site Address: Last Routine Inspection Date:

8734 Union Centre Blvd

West Chester OH 45069 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G15548001 Facility Name: Orthopaedic & Spine Center LLC

Type: Clinic Expiration Date: 07-31-2021 Facility Status: Active Registrant Phone: 6149561383

IRRP: Joseph Boesch RT(R)

Site Address: Last Routine Inspection Date: 11-16-2017 6810 Perimeter Dr Ste 200 A

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10D05561001 Facility Name: Orthopaedic Ambulatory Surgical Intervention

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3304989898

IRRP: David Malysa RT(R)

Site Address: Last Routine Inspection Date: 07-15-2021 7000 Whipple Ave NW

Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 5 M11 Fluoroscopic: C-Arm (Miniature) Non-Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 8 Reg #: 10F09858005 Facility Name: Orthopaedic Associates Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4408921440

IRRP: Irwin Mandel MD

Site Address: Last Routine Inspection Date: 04-24-2019 1502 Travelers Pt

Avon OH 44011 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10L09858004 Facility Name: Orthopaedic Associates Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4408921440

IRRP: Irwin Mandel MD

Site Address: Last Routine Inspection Date: 07-07-2020 24723 Detroit Rd

Westlake OH 44145 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L09106001 Facility Name: Orthopaedic Associates of Zanesville Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7404543273

IRRP: Steven H Kimberly MD

Site Address: Last Routine Inspection Date: 10-01-2020 2854 Bell St

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M9 Fluoroscopic: C-Arm (Stationary) Operating 1 3 Reg #: 10K08253001 Facility Name: Orthopaedic Institute of Dayton Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9375316768

IRRP: Elizabeth A Bender RT(R)

Site Address: Last Routine Inspection Date: 03-11-2020 3205 Woodman Dr

Dayton OH 45420 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10K08253003 Facility Name: Orthopaedic Institute of Dayton Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9376690909

IRRP: Elizabeth A Bender RT(R)

Site Address: Last Routine Inspection Date: 05-20-2019 70 Weller Dr

Tipp City OH 45371 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G09046004 Facility Name: Orthopaedic Institute of Ohio Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4197633020

IRRP: Anita K Ross RT(R)

Site Address: Last Routine Inspection Date: 07-22-2020 830 W Main St Ste 4

Coldwater OH 45825 Mercer County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09046005 Facility Name: Orthopaedic Institute of Ohio Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4194240131

IRRP: Anita K Ross RT(R)

Site Address: Last Routine Inspection Date: 02-22-2019 1501 Bright Rd

Findlay OH 45840 Hancock County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K09046001 Facility Name: Orthopaedic Institute of Ohio Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4192226622

IRRP: Anita K Ross RT(R)

Site Address: Last Routine Inspection Date: 01-24-2020 801 Medical Dr

Lima OH 45804 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 4

Reg #: 10A09046002 Facility Name: Orthopaedic Institute of Ohio Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4193944636

IRRP: Anita K Ross RT(R)

Site Address: Last Routine Inspection Date: 08-06-2020 1275 Greenville Rd

Saint Marys OH 45885 Auglaize County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E09046006 Facility Name: Orthopaedic Institute of Ohio Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4194487424

IRRP: Anita K Ross RT(R)

Site Address: Last Routine Inspection Date: 04-04-2019 27 Lawrence Dr Ste 102

Tiffin OH 44883 Seneca County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A09046003 Facility Name: Orthopaedic Institute of Ohio Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4192389764

IRRP: Anita K Ross RT(R)

Site Address: Last Routine Inspection Date: 02-06-2019 1180 Professional Dr

Van Wert OH 45891 Van Wert County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A08648007 Facility Name: Orthopaedic Multispecialty Network Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3304929200

IRRP: Kristy Henderson RT(R)

Site Address: Last Routine Inspection Date: 09-02-2020 2211 W State St

Alliance OH 44601 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K08648001 Facility Name: Orthopaedic Multispecialty Network Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3304929200

IRRP: Kristy Henderson RT(R)

Site Address: Last Routine Inspection Date: 08-03-2018 4760 Belpar St NW

Canton OH 44718 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 3

Reg #: 10B08648006 Facility Name: Orthopaedic Multispecialty Network Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3304929200

IRRP: Kristy Henderson RT(R)

Site Address: Last Routine Inspection Date: Omni Orthopaedics 09-23-2020 340 Oxford St Ste 102

Dover OH 44622 Tuscarawas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F08112006 Facility Name: Orthopaedic Network Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4195177500

IRRP: Denise Iffland RT(R)(MR)

Site Address: Last Routine Inspection Date: Consulting Orthopaedic Associates 06-18-2018 7630 Kings Pointe

Toledo OH 43617 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K04390001 Facility Name: Orthopedic & Neurological Consultants Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6148906555

IRRP: Ashlee McAfee RT(R)

Site Address: Last Routine Inspection Date: 08-10-2020 1313 Olentangy River Rd

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H04390005 Facility Name: Orthopedic & Neurological Consultants Inc

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant that has moved Phone: 6148906555

IRRP: Ashlee McAfee RT(R)

Site Address: Last Routine Inspection Date: 08-30-2021 6785 Bobcat Way Ste 300

Dublin OH 43017 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K04390004 Facility Name: Orthopedic & Neurological Consultants Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6148906555

IRRP: Ashlee McAfee RT(R)

Site Address: Last Routine Inspection Date: 09-18-2020 5040 Forest Dr Ste 300

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10D04390003 Facility Name: Orthopedic & Neurological Consultants Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6148633227

IRRP: Ashlee McAfee RT(R)

Site Address: Last Routine Inspection Date: 01-24-2019 1030 Refugee Rd & 1240 Hill Rd N

Pickerington OH 43147 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10C04390002 Facility Name: Orthopedic & Neurological Consultants Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6148906555

IRRP: Ashlee McAfee RT(R)

Site Address: Last Routine Inspection Date: 01-24-2020 70 S Cleveland Ave

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J10984003 Facility Name: Orthopedic Associates of Dayton Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9372804988

IRRP: Mindy Jones RT(R)

Site Address: Last Routine Inspection Date: 07-25-2018 7980 N Main St

Dayton OH 45415-1184 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2 Reg #: 10B10984005 Facility Name: Orthopedic Associates of Dayton Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9372804988

IRRP: Mindy Jones RT(R)

Site Address: Last Routine Inspection Date: 03-22-2021 8255 Yankee St

Dayton OH 45458 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10A01482002 Facility Name: Orthopedic Associates of Lake County

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4403509595

IRRP: Frank J Myers DO

Site Address: Last Routine Inspection Date: 07-18-2019 7551 Fredle Dr

Concord OH 44077 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K01482001 Facility Name: Orthopedic Associates of Lake County

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4404281944

IRRP: Frank J Myers DO

Site Address: Last Routine Inspection Date: 12-20-2018 6550 N Ridge Rd

Madison OH 44057 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M16620002 Facility Name: Orthopedic Associates of SW Ohio Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9374280400

IRRP: Michael D Barnett MD

Site Address: Last Routine Inspection Date: 03-13-2020 7677 Yankee St Ste 110

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 3

Reg #: 10M16620001 Facility Name: Orthopedic Associates of SW Ohio Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9374159100

IRRP: Michael D Barnett MD

Site Address: Last Routine Inspection Date: 12-13-2019 4160 Little York Rd Ste 10

Dayton OH 45414 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 3

Reg #: 10F16620004 Facility Name: Orthopedic Associates of SW Ohio Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9374396464

IRRP: Michael D Barnett MD

Site Address: Last Routine Inspection Date: 06-09-2020 732 Sweitzer St

Greenville OH 45331 Darke County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G16620005 Facility Name: Orthopedic Associates of SW Ohio Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9374280400

IRRP: Michael D Barnett MD

Site Address: Last Routine Inspection Date: 02-05-2019 7117 Dutchland Pkwy

Middletown OH 45044 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M16620003 Facility Name: Orthopedic Associates of SW Ohio Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9374159100

IRRP: Michael D Barnett MD

Site Address: Last Routine Inspection Date: 06-01-2018 300 Third Ave

Sidney OH 45365 Shelby County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10H16620006 Facility Name: Orthopedic Associates of SW Ohio Inc

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 9374280400

IRRP: Benjamin Mahorney

Site Address: Last Routine Inspection Date: 02-05-2020 700 S Stanfield Rd Ste B

Troy OH 45373 Miami County Reg #: 10F09170002 Facility Name: Orthopedic One Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6148278242

IRRP: Nathan J Smith RT(R)MR

Site Address: Last Routine Inspection Date: 10-25-2019 170 Taylor Station Rd

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 4

Reg #: 10H09170011 Facility Name: Orthopedic One Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6148278242

IRRP: Nathan J Smith RT(R)MR

Site Address: Last Routine Inspection Date: 02-27-2020 460 W Central Ave Ste A

Delaware OH 43015 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H09170010 Facility Name: Orthopedic One Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6148278242

IRRP: Nathan J Smith RT(R)MR

Site Address: Last Routine Inspection Date: 02-13-2020 6840 Perimeter Dr

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B09170012 Facility Name: Orthopedic One Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6148278242

IRRP: Nathan J Smith RT(R)MR

Site Address: Last Routine Inspection Date: 01-22-2019 5500 N Meadows Dr

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10F09170006 Facility Name: Orthopedic One Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6144881816

IRRP: Janelle Wood

Site Address: Last Routine Inspection Date: 04-08-2019 3777 Trueman Ct

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10H09170009 Facility Name: Orthopedic One Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6148278242

IRRP: Nathan J Smith RT(R)MR

Site Address: Last Routine Inspection Date: 01-27-2020 4605 Sawmill Rd

Upper Arlington OH 43220 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 4 4 Reg #: 10F09170008 Facility Name: Orthopedic One Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6148392300

IRRP: Jessica A Artis

Site Address: Last Routine Inspection Date: 07-07-2021 560 N Cleveland Ave

Westerville OH 43082 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A08581002 Facility Name: Orthopedic Specialists & Sports Medicine Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 7407889220

IRRP: Edward L Westerheide MD

Site Address: Last Routine Inspection Date: 10-08-2020 2750 Newark-Granville Rd

Granville OH 43023 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10G04482001 Facility Name: Osler Medical Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9373936633

IRRP: Jeffrey S Berry MD

Site Address: Last Routine Inspection Date: 06-28-2017 219 W Main St

Hillsboro OH 45133 Highland County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1 Reg #: 10E16890001 Facility Name: OSU Otolaryngology-Head & Neck Surgery

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6142930681

IRRP: Bradley A Otto MD

Site Address: Last Routine Inspection Date: 01-03-2020 915 Olentangy River Rd Ste 4000

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1

Reg #: 10C17474001 Facility Name: OSU Urology LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6146856548

IRRP: Bodo Knudsen MD

Site Address: Last Routine Inspection Date: 04-15-2019 915 Olentangy River Rd Flr 2 Ste 2000

Columbus OH 43212 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10K01084001 Facility Name: Pain Care Specialists LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6147775700

IRRP: P Rao Lingam MD

Site Address: Last Routine Inspection Date: 05-20-2019 6397 Emerald Pkwy Ste 100

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10J17836001 Facility Name: Pain Center LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5137557888

IRRP: Hungchih (Frank) Lee MD

Site Address: Last Routine Inspection Date: 05-20-2020 7862 Kingland Dr Ste E

West Chester OH 45069-2573 Butler County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10A20272001 Facility Name: Pain Evaluation & Management Center of Ohio Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9374394949

IRRP: Janice L Pauley MD

Site Address: Last Routine Inspection Date: 11-13-2020 1512 & 1550 Yankee Park Pl

Centerville OH 45458 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10E15403001 Facility Name: Pain Management Clinic LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7404358484

IRRP: Michael Sayegh MD

Site Address: Last Routine Inspection Date: 07-27-2021 1175 S 13th St

Cambridge OH 43725 Guernsey County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10J15403002 Facility Name: Pain Management Clinic LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6145771600

IRRP: Michael Sayegh MD

Site Address: Last Routine Inspection Date: 05-10-2021 7335 E Livingston Ave

Reynoldsburg OH 43068 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10F16258001 Facility Name: Pain Management Institute LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3302025580

IRRP: Ayman Harris Basali MD

Site Address: Last Routine Inspection Date: 04-08-2019 546 Winter St Ste 200

Wooster OH 44691 Wayne County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10J20079001 Facility Name: Pain Relief Neuro Center Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7404541747

IRRP: Russel E Schroder DC

Site Address: Last Routine Inspection Date: 08-12-2020 300 Main St

Zanesville OH 43701-3426 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L18715001 Facility Name: Pain Specialists of Cincinnati LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5139222204

IRRP: Zeeshan K Tayeb MD

Site Address: Last Routine Inspection Date: 09-18-2019 3328 Westbourne Dr

Cincinnati OH 45248 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H02686001 Facility Name: Parkman Road Medical Associates Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3303731414

IRRP: Paresh G Mehta MD

Site Address: Last Routine Inspection Date: 04-29-2020 2390 Parkman Rd NW

Warren OH 44485 Trumbull County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10J16429001 Facility Name: Pars Neurosurgical Associates Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7403155709

IRRP: Michelle McCarter RT(R)(MR)

Site Address: Last Routine Inspection Date: 12-02-2020 407 Main St Ste 1

Belpre OH 45714 Washington County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10D08587001 Facility Name: Patrick H Macedonia MD

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7402837100

IRRP: Patrick H Macedonia MD

Site Address: Last Routine Inspection Date: Women's Health & Forever Young 11-25-2019 Aesthetics 1 Ross Park Ste 101

Steubenville OH 43952 Jefferson County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10K15756001 Facility Name: Pearl Road Surgery Center LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4408820103

IRRP: Tim A Sidor MD

Site Address: Last Routine Inspection Date: 07-14-2021 6900 Pearl Rd Ste 101

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M8 Fluoroscopic: Above Table Operating 1 2

Reg #: 10G20618001 Facility Name: People Check LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 3308489104

IRRP: Melissa McCoy APRN

Site Address: Last Routine Inspection Date:

101 Fifth St SE Ste J

Barberton OH 44203 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D04018001 Facility Name: Perry County Family Practice Inc

Type: Clinic Expiration Date: 01-31-2021 Facility Status: Active Registrant Phone: 7403425158

IRRP: Stephen C Ulrich MD

Site Address: Last Routine Inspection Date: 06-08-2018 1625 Airport Rd SE

New Lexington OH 43764 Perry County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B20197002 Facility Name: Physical Medicine & Rehabilitation Centers of Ohio

Type: Clinic Expiration Date: 09-30-2022 Facility Status: New Application Phone: 8333762285

IRRP: Joseph Boesch RT(R)

Site Address: Last Routine Inspection Date: 08-21-2020 4092 Gantz Rd

Grove City OH 43123 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10F18409001 Facility Name: Physical Medicine Associates Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6145664907

IRRP: Robert H Perkins MD

Site Address: Last Routine Inspection Date: 11-08-2018 7269 Sawmill Rd Ste 150

Dublin OH 43016 Franklin County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 1 1 Reg #: 10M10229001 Facility Name: Physicians Medical Imaging Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3307461231

IRRP: Chander M Kohli MD

Site Address: Last Routine Inspection Date: 07-29-2020 540 Parmalee Ave Ste 100

Youngstown OH 44510 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 4

Reg #: 10L09504001 Facility Name: Pickerington Urgent Care

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6147556370

IRRP: Stephanie Di Iullo

Site Address: Last Routine Inspection Date: Access Urgent Medical Care 02-28-2020 1797 Hill Rd N

Pickerington OH 43147 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C18910001 Facility Name: Pinnacle Integrated Health LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3307586440

IRRP: Thomas E Gudaitis DC

Site Address: Last Routine Inspection Date: 04-23-2020 914 Trailwood Dr

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2 Reg #: 10E15418001 Facility Name: Poland Medical Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3307577888

IRRP: Arthur Duran DO

Site Address: Last Routine Inspection Date: 03-13-2020 6615 Clingan Rd Ste C

Poland OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10C16064001 Facility Name: Polaris Surgery Center LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6142326500

IRRP: Eddy Robbins

Site Address: Last Routine Inspection Date: 08-09-2021 300 Polaris Pkwy Ste 1400

Westerville OH 43082 Delaware County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 4 6

Reg #: 10D16881001 Facility Name: PR Care Ltd

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6147899464

IRRP: Marcus Pesa MD

Site Address: Last Routine Inspection Date: Scioto Urgent Care 02-10-2020 4760 Sawmill Rd

Columbus OH 43235 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G03571004 Facility Name: Precision Orthopaedic Specialties Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4405432097

IRRP: Julie Carr

Site Address: Last Routine Inspection Date: 08-21-2019 11800 E Washington St

Auburn OH 44023 Geauga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K03571001 Facility Name: Precision Orthopaedic Specialties Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4402854999

IRRP: Julie Carr

Site Address: Last Routine Inspection Date: 06-04-2020 150 7th Ave Ste 110 & 200

Chardon OH 44024 Geauga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 3

Reg #: 10H03571003 Facility Name: Precision Orthopaedic Specialties Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4402854999

IRRP: Julie Carr

Site Address: Last Routine Inspection Date: 08-26-2021 15389 W High St

Middlefield OH 44062 Geauga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H20680001 Facility Name: Precision Pain Care ASC LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: New Application Phone: 7406899500

IRRP: Ron P Linehan MD

Site Address: Last Routine Inspection Date:

1533 A Election House Rd NW

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10E16220001 Facility Name: Precision Pain Care Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7406899500

IRRP: Anita Proctor

Site Address: Last Routine Inspection Date: 12-22-2020 1533 Election House Rd NW

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H17105001 Facility Name: Premier Gynecology Inc

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 3305460751

IRRP: JoAnn Krivetzky MD

Site Address: Last Routine Inspection Date: 08-07-2018 4256 Fulton Dr NW Ste B

Canton OH 44718-2879 Stark County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10D15278001 Facility Name: Premier Health Associates

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3308234000

IRRP: Valerie A Burke RT(R)

Site Address: Last Routine Inspection Date: 09-18-2019 22792 Harrisburg Westville

Alliance OH 44601 Mahoning County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10J17182018 Facility Name: Premier Health Specialists Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9374995631

IRRP: Christina Randal RT(R)(N)

Site Address: Last Routine Inspection Date: Premier Orthopedics ±Beavercreek 03-05-2020 2400 Lakeview Dr

Beavercreek OH 45431 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17182003 Facility Name: Premier Health Specialists Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9373121661

IRRP: Monique Evers RT(R)

Site Address: Last Routine Inspection Date: Premier Orthopedics - MVHS 04-19-2018 2400 Miami Valley Dr Ste 160

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10A17182006 Facility Name: Premier Health Specialists Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9374354263

IRRP: Monique Evers RT(R)

Site Address: Last Routine Inspection Date: Hand & Reconstructive Surgeons & 05-07-2019 Associates 2400 Miami Valley Dr Ste 280

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10J17182008 Facility Name: Premier Health Specialists Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9378324773

IRRP: Deborah Lewallen RT(R)

Site Address: Last Routine Inspection Date: Premier Orthopedics 03-02-2020 9000 N Main St Ste 227

Dayton OH 45415 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10G17182016 Facility Name: Premier Health Specialists Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9372082091

IRRP: Brittany Braden

Site Address: Last Routine Inspection Date: Premier Orthopedics 06-01-2021 30 E Apple St Ste 2200

Dayton OH 45409 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K17182013 Facility Name: Premier Health Specialists Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5134228274

IRRP: Joshua Hurst

Site Address: Last Routine Inspection Date: Premier Orthopedics 06-14-2019 200 Medical Center Dr Ste 375

Franklin OH 45005 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17182014 Facility Name: Premier Health Specialists Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5134247711

IRRP: James A McCollor RT(R)

Site Address: Last Routine Inspection Date: Premier Orthopedics ±Breiel 04-09-2019 275 N Breiel Blvd

Middletown OH 45042 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10J17182017 Facility Name: Premier Health Specialists Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9374995631

IRRP: Veronica Cornett RT(R)

Site Address: Last Routine Inspection Date: Premier Orthopedics ±Vandalia 03-10-2020 600 Aviator Ct Ste 210

Vandalia OH 45377 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F19395009 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9372121627

IRRP: Ed Marcyoniak RT(R)

Site Address: Last Routine Inspection Date: Premier Health Urgent Care Inc - 06-19-2019 Beavercreek 2484 N Fairfield Rd

Beavercreek OH 45431 Greene County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10C19395007 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9372086887

IRRP: Ryan Mills RT(R)

Site Address: Last Routine Inspection Date: Premier Health Urgent Care Centerville 11-16-2018 6071 Far Hills Ave

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10K19395002 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant that has moved Phone: 9372086871

IRRP: Ed Marcyoniak RT(R)

Site Address: Last Routine Inspection Date: Premier Health Urgent Care Univ of Dayton 03-15-2018 300 College Park Dr

Dayton OH 45409 Montgomery County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10A19395003 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9372086879

IRRP: Kristin Daniels

Site Address: Last Routine Inspection Date: Premier Health Urgent Care Englewood 09-04-2018 1130 S Main St

Englewood OH 45322 Montgomery County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10A19395005 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9372084100

IRRP: Ed Marcyoniak RT(R)

Site Address: Last Routine Inspection Date: Premier Health Urgent Care Huber Heights 09-07-2018 8290 Old Troy Pike Ste 40A

Huber Heights OH 45424 Montgomery County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10G19395011 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 5139748320

IRRP: Ryan Mills RT(R)

Site Address: Last Routine Inspection Date: Premier Union Village 580 N St Rt 741 Ste 100

Lebanon OH 45036 Warren County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10L19395010 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9374407683

IRRP: Kristin Daniels

Site Address: Last Routine Inspection Date: Premier Health Urgent Care Piqua 07-10-2020 280 Looney Rd Ste 107

Piqua OH 45356 Miami County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10K19395001 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9372086865

IRRP: Ryan Mills RT(R)

Site Address: Last Routine Inspection Date: Premier Health Urgent Care Springboro 02-26-2020 752 N Main St

Springboro OH 45066 Warren County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10A19395006 Facility Name: Premier Health Urgent Care Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9372084120

IRRP: Kristin Daniels

Site Address: Last Routine Inspection Date: Premier Health Urgent Care Troy 08-29-2018 1843 W Main St

Troy OH 45373 Miami County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10M04912013 Facility Name: Premier Integrated Medical Associates Ltd

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9378369921

IRRP: Gerald A Molfenter MD

Site Address: Last Routine Inspection Date: 03-10-2021 120 W Wenger Rd

Englewood OH 45322 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10A18754003 Facility Name: Premier Pain Treatment Institute

Type: Clinic Expiration Date: 07-31-2022 Facility Status: New Application Phone: 5134547246

IRRP: Michael D Danko MD

Site Address: Last Routine Inspection Date:

1121 Northview Dr

Hillsboro OH 45133 Highland County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10M18754001 Facility Name: Premier Pain Treatment Institute

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5134547146

IRRP: Michael D Danko MD

Site Address: Last Routine Inspection Date: 09-16-2019 1301 Mattec Dr

Loveland OH 45140 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2 Reg #: 10D18754002 Facility Name: Premier Pain Treatment Institute

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4402211928

IRRP: Michael D Danko MD

Site Address: Last Routine Inspection Date: 04-06-2021 111 Vandament Way

Mount Orab OH 45154 Brown County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10G03672005 Facility Name: Premier Physicians Centers Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4402740338

IRRP: Kristina White

Site Address: Last Routine Inspection Date: 10-01-2019 18660 Bagley Rd Bldg II Ste 102B

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H03672004 Facility Name: Premier Physicians Centers Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4403332246

IRRP: Mary Lynne Slife RT(R)

Site Address: Last Routine Inspection Date: 11-06-2019 25200 Center Ridge Rd Ste 1500

Westlake OH 44145 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M9 Fluoroscopic: C-Arm (Stationary) Operating 1 4 Reg #: 10K03836001 Facility Name: Primecare Pediatrics

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7404548502

IRRP: Nicholle Rueckert RT(R)

Site Address: Last Routine Inspection Date: 01-27-2021 751 Forest Ave Ste 401

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C16438002 Facility Name: Professional Anesthesia Associates Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4197098270

IRRP: James R Wolfe MD

Site Address: Last Routine Inspection Date: Mid Ohio Pain Care 11-13-2018 605 S Trimble Rd Ste B

Mansfield OH 449064112 Richland County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10L06928001 Facility Name: Professionals For Women's Health

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6142688800

IRRP: Ann Marie Wurst MD

Site Address: Last Routine Inspection Date: 05-14-2020 921 B Jasonway Ave

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M5 Mammographic Operating 1 1 Reg #: 10C02389001 Facility Name: Progressive Health Services

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4404467677

IRRP: Tim F Kowalski MD

Site Address: Last Routine Inspection Date: 01-21-2021 6300 Wilson Mills Rd

Mayfield Village OH 44143 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J03167021 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4197836996

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Defiance Orthopaedic Center 03-05-2020 1252 Ralston Ave Ste 302

Defiance OH 43512 Defiance County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L03167016 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5675850070

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Airport Urgent Care 06-20-2019 6711 Airport Hwy

Holland OH 43528 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E03167018 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5675850210

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Maumee Urgent Care 08-12-2020 217 Golden Gate Plaza

Maumee OH 43537 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10J03167020 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4196908811

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Assenmacher Orthopedics 02-13-2020 2751 Bay Park Dr Ste 201

Oregon OH 43616 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H03167015 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5675850010

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Perrysburg Urgent Care 01-14-2019 25950 N Dixie Hwy

Perrysburg OH 43551 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E03167012 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4198241888

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Physicians Plastic Surgery 08-06-2021 5308 Harroun Rd Ste 280

Sylvania OH 43560 Lucas County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Non-Operating 1 1

Reg #: 10J03167022 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4194795386

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Orthopaedic Surgery 02-13-2020 5300 Harroun Rd Ste 118

Sylvania OH 43560 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E03167013 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4198855563

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Hauser and Witt Podiatry 08-06-2021 4888 Whiteford Rd

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10A03167017 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5675850075

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Central Urgent Care 08-23-2019 6755 Central Ave

Toledo OH 43617 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E03167019 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 5675850210

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Secor Urgent Care 10-19-2020 3430 Secor Rd Ste 425

Toledo OH 43606 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J03167023 Facility Name: ProMedica Central Physicians LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4192913858

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Physical Medicine and Rehabilitation 02-20-2020 2121 Hughes Dr Ste 980 & additional location

Toledo OH 43606 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 4 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M2 Radiographic Mobile Operating 1 7 Reg #: 10G18450001 Facility Name: ProMedica East Physicians

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4192911420

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Urgent Care 01-14-2019 3316 Navarre Ave Ste F

Oregon OH 43616 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H18488001 Facility Name: ProScan Imaging Gahanna LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6148558740

IRRP: Vito Basile MD

Site Address: Last Routine Inspection Date: 02-21-2019 5593 N Hamilton Rd

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10M00409003 Facility Name: Proscan Women's Imaging @ Redbank LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5137727750

IRRP: George G Wagner MD

Site Address: Last Routine Inspection Date: ProScan Pink Ribbon Center Tri-County 04-29-2021 11594 Springfield Pike Ste 26

Cincinnati OH 45246 Hamilton County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2 Reg #: 10J00409002 Facility Name: Proscan Women's Imaging @ Redbank LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5135277750

IRRP: George G Wagner MD

Site Address: Last Routine Inspection Date: ProScan Pink Ribbon Center 04-15-2020 4850 Red Bank Exp Ste 310

Cincinnati OH 45227 Hamilton County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 M6 Stereotactic Biopsy Operating 1 4

Reg #: 10J20056001 Facility Name: Prospect Urgent Care LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4403818520

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: 02-06-2020 417 W Prospect Rd

Ashtabula OH 44004 Ashtabula County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K02787002 Facility Name: Pulmonary & Critical Care Consultants

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9374615815

IRRP: Candis Woods RT(R)

Site Address: Last Routine Inspection Date: 04-04-2018 1520 S Main St Ste 2

Dayton OH 45409 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B03877001 Facility Name: Pulmonary Physicians Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3304528844

IRRP: Jodi Jones

Site Address: Last Routine Inspection Date: 11-21-2019 2600 W Tuscarawas Ste 100

Canton OH 447084696 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M15898001 Facility Name: Quality Primary Care Corporation

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4196355514

IRRP: Richard L Kendall MD

Site Address: Last Routine Inspection Date: Fastrack Urgent Care 10-08-2020 135 W Perry St

Port Clinton OH 43452-1010 Ottawa County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 2

Reg #: 10H20024006 Facility Name: Quickmed Urgent Care

Type: Clinic Expiration Date: 09-30-2023 Facility Status: New Application Phone: 3308001660

IRRP: Hayley BurnsRT(C)

Site Address: Last Routine Inspection Date:

1037 N Main St

Akron OH 44310 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D20024005 Facility Name: Quickmed Urgent Care

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3304820400

IRRP: Hayley Burns RT(C)

Site Address: Last Routine Inspection Date: 05-11-2021 913 Columbiana Canfield Rd

Columbiana OH 44408 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K20024002 Facility Name: Quickmed Urgent Care

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3304850670

IRRP: Hayley Burns RT(C)

Site Address: Last Routine Inspection Date: 02-11-2020 421 S High St

Cortland OH 44410 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20024003 Facility Name: Quickmed Urgent Care

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 3306163900

IRRP: Hayley Burns RT(C)

Site Address: Last Routine Inspection Date: 06-17-2021 955 N Court St

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H20024001 Facility Name: Quickmed Urgent Care

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 3303336404

IRRP: Hayley Burns RT(C)

Site Address: Last Routine Inspection Date: 11-27-2019 3499 Belmont Ave

Youngstown OH 44505 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D20024004 Facility Name: Quickmed Urgent Care

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3309924100

IRRP: Hayley Burns RT(C)

Site Address: Last Routine Inspection Date: 04-29-2021 4990 Mahoning Ave

Youngstown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B15504003 Facility Name: Radiation Oncology Ctr Mercy Hospital Anderson LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5136865000

IRRP: Abdolreza Hashemian

Site Address: Last Routine Inspection Date: 07-18-2019 4777 E Galbraith Rd

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10H15504004 Facility Name: Radiation Oncology Ctr Mercy Hospital Anderson LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5137512273

IRRP: Nadeem Khan MS DABR

Site Address: Last Routine Inspection Date: 01-08-2020 3301 Mercy Health Blvd Ste 100

Cincinnati OH 45211 Hamilton County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10D15504005 Facility Name: Radiation Oncology Ctr Mercy Hospital Anderson LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5137512273

IRRP: Nadeem Khan

Site Address: Last Routine Inspection Date: OHC Eastgate 07-17-2019 601 Ivy Gateway Ste 1100

Cincinnati OH 45245 Hamilton County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10C15182017 Facility Name: Radiation Oncology Services LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9378028144

IRRP: Madhup Gupta MS

Site Address: Last Routine Inspection Date: 01-31-2020 2400 Miami Valley Dr Ste 150

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10M15182001 Facility Name: Radiation Oncology Services LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9377712479

IRRP: Terence Chu MS CRE

Site Address: Last Routine Inspection Date: Samaritan Cancer Center 09-06-2019 9000 N Main St

Dayton OH 45415 Montgomery County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 2 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 6 Reg #: 10F15182021 Facility Name: Radiation Oncology Services LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9377712422

IRRP: Madhup Gupta MS

Site Address: Last Routine Inspection Date: 10-02-2019 1111 Sweitzer St

Greenville OH 45331 Darke County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 2

Reg #: 10A15182010 Facility Name: Radiation Oncology Services LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9377712299

IRRP: Shamsuddin Adakkai-Kadavathu

Site Address: Last Routine Inspection Date: Greater Dayton Cancer 09-10-2019 3120 Governors Place Blvd

Kettering OH 45409 Montgomery County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 2

Reg #: 10D15182019 Facility Name: Radiation Oncology Services LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 9375762886

IRRP: John Phillip Sawyer MS CRE

Site Address: Last Routine Inspection Date: Compton Cancer Center 01-23-2020 501 Atrium Dr

Middletown OH 45005 Warren County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10A15182014 Facility Name: Radiation Oncology Services LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9374404821

IRRP: Sandesh Gupta PhD

Site Address: Last Routine Inspection Date: Cancer Care Center 06-26-2018 3130 N County Road 25A

Troy OH 45373 Miami County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10G00364001 Facility Name: Ralph W Newman DO

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6142523636

IRRP: Ralph W Newman DO

Site Address: Last Routine Inspection Date: Ohio Health Center Inc 11-01-2018 1000 E Broad St

Columbus OH 43205 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10J16822004 Facility Name: RCHP - Wilmington LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9372832290

IRRP: David P Zadvinskis MD

Site Address: Last Routine Inspection Date: Center for Sport Sciences 04-23-2019 720 Elm St

Wilmington OH 45177 Clinton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2 Reg #: 10J10161001 Facility Name: REC Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3308360258

IRRP: Carol L Hrobak RT(R)

Site Address: Last Routine Inspection Date: Medical Evaluation Services 01-07-2020 83 N Miller Rd

Akron OH 44333 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G17494002 Facility Name: Reid Physician Associates Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9374564400

IRRP: Eugene DiTullio

Site Address: Last Routine Inspection Date: Reid Urgent Care of Eaton 02-05-2020 109B E Washington-Jackson Rd

Eaton OH 45320 Preble County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C17494001 Facility Name: Reid Physician Associates Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7659358905

IRRP: Eugene DiTullio

Site Address: Last Routine Inspection Date: Reid Orthopedic Center - Greenville 11-07-2018 1101 Jackson St

Greenville OH 45331 Darke County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J08566001 Facility Name: Reynolds Road Surgical Center Ltd

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4195787500

IRRP: John V Houghtaling MD

Site Address: Last Routine Inspection Date: Wildwood Surgical Center 09-03-2020 2865 N Reynolds Rd Ste 190

Toledo OH 43615 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 3

Reg #: 10B15122001 Facility Name: Reynoldsburg Adult Urgent Care

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6148649380

IRRP: Girraj K Bansal MD

Site Address: Last Routine Inspection Date: 11-26-2018 1649 Brice Rd Ste B

Reynoldsburg OH 43068 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A06256001 Facility Name: Rheumatology Clinic of Lima LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4192223758

IRRP: Vivian Hobayan MD

Site Address: Last Routine Inspection Date: 01-16-2020 750 W High St Ste 260

Lima OH 45801 Allen County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10G02348001 Facility Name: Ricardo Mario Buenaventura MD LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 9373951300

IRRP: Ricardo M Buenaventura MD

Site Address: Last Routine Inspection Date: Pain Relief of Dayton 05-22-2019 7244 Far Hills Ave

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10B17416001 Facility Name: Richard K Cavender MD Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 6149392308

IRRP: Richard K Cavender MD

Site Address: Last Routine Inspection Date: 07-07-2021 164 Wetherby Ln

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10C00441001 Facility Name: Ridgepark Medical Associates Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 2167498276

IRRP: Charles Koepke MD

Site Address: Last Routine Inspection Date: 03-31-2021 1440 Rockside Rd Ste 202

Parma OH 44134 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10J20081001 Facility Name: Ripley Clinic LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9373926021

IRRP: Parnak Kochyan

Site Address: Last Routine Inspection Date: 03-25-2020 14 N Second St

Ripley OH 45167 Brown County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Non-Operating 1 1

Reg #: 10K04696001 Facility Name: River Valley Orthopaedics & Sports Medicine Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7406873346

IRRP: Madyson Wills RT(R)

Site Address: Last Routine Inspection Date: Ohio Orthopaedic Center 11-19-2019 2405 N Columbus St Ste 120

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F10147002 Facility Name: Riverhills Healthcare Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5133227300

IRRP: Onassis A Caneris MD

Site Address: Last Routine Inspection Date: Pain Management Division 05-07-2020 4805 Montgomery Rd Ste 210

Cincinnati OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10F16433002 Facility Name: Rocking Horse Childrens Health Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9373241111

IRRP: Lisa Saunders

Site Address: Last Routine Inspection Date: 01-10-2020 651 S Limestone St

Springfield OH 45505 Clark County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 5

Reg #: 10E01992001 Facility Name: Rod E Batie DO Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 9373239242

IRRP: Rod E Batie DO

Site Address: Last Routine Inspection Date: 10-22-2018 1835 E High St

Springfield OH 45505 Clark County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10B18792002 Facility Name: RPJ Liberty Enterprises LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3307599666

IRRP: Pasquale Colatruglio RT(R)(MR)

Site Address: Last Routine Inspection Date: 06-12-2020 600 State Rd Ste 166

Ashtabula OH 44004 Ashtabula County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10A18792001 Facility Name: RPJ Liberty Enterprises LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3307599666

IRRP: Pasquale Colatruglio RT(R)(MR)

Site Address: Last Routine Inspection Date: Liberty Open MRI 02-07-2020 4300 Belmont Ave Ste 6

Youngstown OH 44505 Trumbull County

Tubes Tube Code Description Status Quantity E70 Tube Only Non-Operating 7 M1 Radiographic (Stationary) Operating 1 8

Reg #: 10L17240001 Facility Name: Saint Mary's Medical Center Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3045268258

IRRP: James Norweck

Site Address: Last Routine Inspection Date: 06-26-2018 1408 Campbell Dr

Ironton OH 45638 Lawrence County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10H17240002 Facility Name: Saint Mary's Medical Center Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7408869911

IRRP: James Norweck

Site Address: Last Routine Inspection Date: Saint Mary's Medical Center Proctorville 03-19-2020 5897 County Road 107

Proctorville OH 45669 Lawrence County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 3 M4 C.T. (Computerized Tomography) Operating 1 5

Reg #: 10G09112003 Facility Name: Salem Foad MD Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5139843022

IRRP: B Salem Foad MD

Site Address: Last Routine Inspection Date: 12-03-2019 7730 Montgomery Rd Ste 200

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H00886005 Facility Name: Salem Regional Medical Center

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3303327394

IRRP: Debbie Mesmer RT(R)

Site Address: Last Routine Inspection Date: Firestone Town Center Imaging Services 05-26-2021 116 Carriage Dr - Town Center @ Firestone Farms

Columbiana OH 44408 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4

Reg #: 10K18662001 Facility Name: Scheidler Medical Preferred LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5137370257

IRRP: Stanley E Scheidler DO

Site Address: Last Routine Inspection Date: 04-17-2019 543 Park Ave

Hamilton OH 45013 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10H00242005 Facility Name: Shelby County Memorial Hospital Association

Type: Clinic Expiration Date: 09-30-2023 Facility Status: New Application Phone: 4195011530

IRRP: Alyce Bornhorst RT(R)

Site Address: Last Routine Inspection Date: Wilson Memorial Hospital - Minster Urgent Care 326 N Main St Ste 300

Minster OH 45865 Auglaize County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10F19871001 Facility Name: Shiloh Medical Services LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4199088003

IRRP: Chad A Kaufman MD

Site Address: Last Routine Inspection Date: Chad Kaufman 07-08-2019 5748 St Rt 13

Greenwich OH 44837 Richland County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 M1 Radiographic (Stationary) Operating 1 4

Reg #: 10D16874001 Facility Name: SKPR OH 1 LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7403551234

IRRP: Prakash B Patel MD

Site Address: Last Routine Inspection Date: Scioto County Cancer Center 11-01-2018 915 10th St

Portsmouth OH 45662 Scioto County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10B16753001 Facility Name: SOMC Medical Care Foundation Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7403531709

IRRP: Scott D Logan MD

Site Address: Last Routine Inspection Date: SOMC Orthopaedic Associates 09-26-2017 1711 27th St Braunlin Bldg Ste 102

Portsmouth OH 45662 Scioto County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A16753002 Facility Name: SOMC Medical Care Foundation Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 7403568109

IRRP: Scott D Logan MD

Site Address: Last Routine Inspection Date: West Union Family Health Center 04-11-2018 90 CIC Blvd

West Union OH 45693 Adams County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M5 Mammographic Operating 1 3

Reg #: 10E05498002 Facility Name: South Suburban Diagnostics

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2166621900

IRRP: John J Farinacci DO

Site Address: Last Routine Inspection Date: 12-29-2020 13201 Granger Rd Ste 3

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10H18524001 Facility Name: Southeast Ohio Surgical Suites LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7408569044

IRRP: James Ruble

Site Address: Last Routine Inspection Date: 10-15-2018 20 University Estates Blvd Ste 110

Athens OH 45701 Athens County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10K04312007 Facility Name: Southeastern Ohio Regional Medical Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7404398033

IRRP: Leisa Arnold

Site Address: Last Routine Inspection Date: Brick Church Facility 07-22-2020 10095 Brick Church Rd

Cambridge OH 43725 Guernsey County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M04312009 Facility Name: Southeastern Ohio Regional Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7404325465

IRRP: Leisa Arnold

Site Address: Last Routine Inspection Date: Community Healthlink 01-22-2018 1205 Clark St

Cambridge OH 43725 Guernsey County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2 Reg #: 10M00539016 Facility Name: Southern Ohio Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7405349830

IRRP: Scott D Logan MD

Site Address: Last Routine Inspection Date: Ironton Family Health Center 07-06-2020 1015 E Ring Rd

Ironton OH 45638 Lawrence County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 2

Reg #: 10B00539011 Facility Name: Southern Ohio Medical Center

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7403567490

IRRP: Shannon Durfee BS MS

Site Address: Last Routine Inspection Date: SOMC Cancer Center 07-09-2018 1121 Kinneys Ln

Portsmouth OH 45662 Scioto County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10M00539015 Facility Name: Southern Ohio Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7403568109

IRRP: Scott D Logan MD

Site Address: Last Routine Inspection Date: Waverly Family Health Center 08-22-2018 835 W Emmitt Ave

Waverly OH 45690 Pike County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10L00539009 Facility Name: Southern Ohio Medical Center

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7403568109

IRRP: Scott D Logan MD

Site Address: Last Routine Inspection Date: Wheelersburg Family Health Care Center 12-16-2019 8770 Ohio River Rd

Wheelersburg OH 45694 Scioto County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10D09004001 Facility Name: Southwest Family Physicians Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4408165721

IRRP: Janeen M Drazdik MD

Site Address: Last Routine Inspection Date: 08-19-2021 7225 Old Oak Blvd Bldg A Ste 210C

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10M08953020 Facility Name: Southwest General Health Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4408168780

IRRP: Lucy Musick

Site Address: Last Routine Inspection Date: Brunswick Medical Center 07-27-2021 4065 Center Rd

Brunswick OH 44212 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 5 Reg #: 10F08953024 Facility Name: Southwest General Health Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4407438400

IRRP: Laura Bonnell RT(R)

Site Address: Last Routine Inspection Date: Big Creek Surgery Center of Southwest 10-20-2020 General 15345 E Bagley Rd

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Non-Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 S3 Cabinet System exclude admittance Operating 1 5

Reg #: 10M08953014 Facility Name: Southwest General Health Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4408168000

IRRP: Angela Smith

Site Address: Last Routine Inspection Date: Seidman Cancer Center 07-22-2020 18697 Bagley Rd

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10J08953012 Facility Name: Southwest General Health Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4408164976

IRRP: Colleen T Schreiber RT(R)

Site Address: Last Routine Inspection Date: 08-16-2018 18181 Pearl Rd

Strongsville OH 44136 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6

Reg #: 10E08791001 Facility Name: Southwest Ohio ENT Specialists Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 9374962620

IRRP: Patricia L Hess

Site Address: Last Routine Inspection Date: 12-11-2019 1222 S Patterson Blvd

Dayton OH 45402 Montgomery County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1

Reg #: 10A15914001 Facility Name: Southwest Ohio Pain Institute Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5138600371

IRRP: Muhammad Munir MD

Site Address: Last Routine Inspection Date: Southwest Ohio Pain Center 12-09-2019 7760 W VOA Park Dr Ste D

West Chester OH 45069 Butler County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10J16464001 Facility Name: Southwest Ohio Pain Management Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5132297800

IRRP: Tricia Croake-Uleman MD

Site Address: Last Routine Inspection Date: 06-27-2019 5700 Gateway Blvd Ste 100B

Mason OH 45040 Warren County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10E20514001 Facility Name: Specialty Network Partners LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 4408450987

IRRP: Jennifer Gyurky

Site Address: Last Routine Inspection Date: Southwest Urology 05-05-2021 6900 Pearl Rd Ste 102

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10L01291002 Facility Name: Spectrum Orthopaedics Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3303050838

IRRP: Cheryl Combs RT(R)

Site Address: Last Routine Inspection Date: 04-08-2021 7442 Frank Ave NW

North Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 4 4 Reg #: 10K20103001 Facility Name: Spine Institute of Ohio LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6142220743

IRRP: Josue P Gabriel MD

Site Address: Last Routine Inspection Date: Josue P Gabriel MD 05-14-2020 3535 Fishinger Blvd Ste 280

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M9 Fluoroscopic: C-Arm (Stationary) Operating 1 1

Reg #: 10G17751001 Facility Name: Spine LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6143925336

IRRP: Nikesh Batra MD

Site Address: Last Routine Inspection Date: 01-03-2019 1090 Beecher Crossing N Ste A

Gahanna OH 43230 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H11028001 Facility Name: Springfield Orthopaedic & Sports Med

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 9373981066

IRRP: Ian M Thompson MD

Site Address: Last Routine Inspection Date: 04-06-2018 140 W Main St

Springfield OH 45502-1312 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F00718001 Facility Name: Springfield Spine & Sport Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9373998366

IRRP: Martin F Bertram MD

Site Address: Last Routine Inspection Date: 01-10-2020 4960 Middle Urbana Rd

Springfield OH 45503 Clark County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10J19259001 Facility Name: Springvale Health Centers Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 2348014747

IRRP: Larry D Bucher DDS

Site Address: Last Routine Inspection Date: 07-30-2021 204 Bellevue Ave

Dover OH 44622 Tuscarawas County

Tubes Tube Code Description Status Quantity D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 2

Reg #: 10C16290004 Facility Name: St Cyril Pain Clinic LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 3308562881

IRRP: George N Andrews MD

Site Address: Last Routine Inspection Date: 07-23-2021 680 E Market St

Akron OH 44304 Summit County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2 Reg #: 10F16290001 Facility Name: St Cyril Pain Clinic LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3308562881

IRRP: George N Andrews MD

Site Address: Last Routine Inspection Date: 11-19-2020 725 Boardman Canfield Rd Ste J2

Boardman OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10H16469011 Facility Name: St John Medical Center

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH North Olmsted Health Center 05-26-2021 26127 Lorain Rd

North Olmsted OH 44070 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C16469008 Facility Name: St John Medical Center

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 2163022441

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: 07-14-2021 19800 Detroit Rd

Rocky River OH 44116 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10J16469006 Facility Name: St John Medical Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4408275672

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: 01-13-2020 26908 Detroit Rd

Westlake OH 44145 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M18766001 Facility Name: St Mina Interventional Pain Center Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3303675188

IRRP: George N Andrews MD

Site Address: Last Routine Inspection Date: 02-21-2020 1621 E Market St Ste A

Warren OH 44483 Trumbull County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10G18729004 Facility Name: St Ritas Professional Services LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4199965002

IRRP: Jeffrey Miller MD

Site Address: Last Routine Inspection Date: Bluffton Family Medicine 10-16-2020 204 N Main St

Bluffton OH 45817 Hancock County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K16484007 Facility Name: St Vincent Charity Medical Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2163632592

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: St Vincent Independence Clinic 01-14-2020 6701 Rockside Rd Ste 100 & 101

Independence OH 44131 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 5

Reg #: 10H16484009 Facility Name: St Vincent Charity Medical Center

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 2163574400

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: St Vincent Charity Med Ctr Diag Imag Ctr 07-03-2018 4400 Rockside Rd Ste 1100

Independence OH 44131 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10D16484012 Facility Name: St Vincent Charity Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2163632691

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: Rocky River Urgent Care 04-26-2021 20220 Center Ridge Rd Ste 120

Rocky River OH 44116 Cuyahoga County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10K16484006 Facility Name: St Vincent Charity Medical Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2163632592

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: St Vincent Solon Clinic - Solon Med 01-16-2020 Campus 33001 Solon Rd Ste 102

Solon OH 44139 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D16484011 Facility Name: St Vincent Charity Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: St Vincent Warren Clinic 05-13-2021 2614 E Market St

Warren OH 44483 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M02673001 Facility Name: Stark County Women's Clinic Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3304930313

IRRP: Debra J West RT(R)(M)

Site Address: Last Routine Inspection Date: 08-21-2018 5000 Higbee Ave NW

Canton OH 44718 Stark County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2 Reg #: 10H02458001 Facility Name: Steve Hooley MD

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 9375922248

IRRP: Steve Hooley MD

Site Address: Last Routine Inspection Date: Bellefontaine Family Health Care 09-06-2019 705 N Madriver St

Bellefontaine OH 43311 Logan County

Reg #: 10E19071001 Facility Name: Steward Sharon Regional Health System Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3305345400

IRRP: Douglas Rice

Site Address: Last Routine Inspection Date: Sharon Regional Medical Center 10-01-2020 880 W Liberty St

Hubbard OH 44425 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B19065004 Facility Name: Steward Trumbull Memorial Hospital Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3308841547

IRRP: Susan Hull

Site Address: Last Routine Inspection Date: Steward Imaging Center 01-02-2019 20 Ohltown Rd

Austintown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Non-Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Operating 1 7 Reg #: 10E19065003 Facility Name: Steward Trumbull Memorial Hospital Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3308415911

IRRP: Cindy Melik

Site Address: Last Routine Inspection Date: Trumbull Regional Medical Center Ctr for 01-12-2021 Radiology 2580 & 2586 Elm Rd NE

Cortland OH 44410 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Non-Operating 1 M5 Mammographic Operating 2 M6 Stereotactic Biopsy Operating 1 M7 Fluoroscopic: Under Table Operating 1 S3 Cabinet System exclude admittance Operating 1 15 Reg #: 10B19065005 Facility Name: Steward Trumbull Memorial Hospital Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3308843532

IRRP: Mark Brall

Site Address: Last Routine Inspection Date: Steward Imaging Center 01-03-2019 500 Gypsy Lane

Youngstown OH 44504 Mahoning County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 7 D2 Panoral (only) Non-Operating 2 M1 Radiographic (Stationary) Non-Operating 6 M2 Radiographic Mobile Non-Operating 2 M3 Bone Densitometry Non-Operating 2 M4 C.T. (Computerized Tomography) Non-Operating 2 M5 Mammographic Non-Operating 1 M6 Stereotactic Biopsy Non-Operating 1 M7 Fluoroscopic: Under Table Non-Operating 1 M8 Fluoroscopic: Above Table Non-Operating 1 M9 Fluoroscopic: C-Arm (Stationary) Non-Operating 5 T3 Therapy - Operates >= 1 MV (Linac) Non-Operating 1 T4 Simulator: C.T. Non-Operating 1 32

Reg #: 10L11231001 Facility Name: Sudesh S Reddy MD

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 7403870650

IRRP: Sudesh S Reddy MD

Site Address: Last Routine Inspection Date: Midwest Internal Medicine Associates 10-22-2019 402 S State St

Marion OH 43302 Marion County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M9 Fluoroscopic: C-Arm (Stationary) Non-Operating 1 2 Reg #: 10G20633001 Facility Name: Suhas LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 4407018030

IRRP: Floyd Tomlinson RT(R)

Site Address: Last Routine Inspection Date: AFC Urgent Care 9110 Mentor Ave

Mentor OH 44060 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J04207017 Facility Name: Summa Health System

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3308731518

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Summa Health Center @ White Pond 12-26-2019 1 Park W Ste 130

Akron OH 44320 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10M04207019 Facility Name: Summa Health System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3309224648

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Summa Health Center @ Cuyahoga Falls 05-31-2018 1860 State Rd Ste B

Cuyahoga Falls OH 44223 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10K04207016 Facility Name: Summa Health System

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3306506710

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Summa Health Center @ Western Reserve 10-01-2019 5655 Hudson Dr Ste 200

Hudson OH 44236 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10M04207024 Facility Name: Summa Health System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3307235349

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Summa Health Center @ Lake Medina 03-04-2021 3780 Medina Rd

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 7

Reg #: 10G04207029 Facility Name: Summa Health System

Type: Clinic Expiration Date: 07-31-2023 Facility Status: New Application Phone: 2348676961

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Stow-Kent Medical Center 3825 Fishcreek Rd Ste 130

Stow OH 44224 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3 Reg #: 10H04207028 Facility Name: Summa Health System

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 2348677761

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: 10-22-2019 60 North Ave Ste 100

Tallmadge OH 44278 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10D04207018 Facility Name: Summa Health System

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3308995565

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Summa Health Center @ Green 07-15-2019 3838 Massillon Rd Ste 300

Uniontown OH 44685 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 1 7 Reg #: 10F04207026 Facility Name: Summa Health System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3306558070

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Summa Health Center @ Wadsworth YMCA 08-09-2018 621 School Rd

Wadsworth OH 44281 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F04207027 Facility Name: Summa Health System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3303311600

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Summa Health Center @ Wadsworth 10-09-2018 195 Wadsworth Rd

Wadsworth OH 44281 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 2 M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 M2 Radiographic Mobile Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Non-Operating 2 15 Reg #: 10B15153001 Facility Name: Summa Physicians Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3308355533

IRRP: Scott Weiner MD

Site Address: Last Routine Inspection Date: Summa Health Med Grp Orthopedics & 07-21-2020 Sports Medicine 1 Park W Blvd Ste 330

Akron OH 44320 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10K15153009 Facility Name: Summa Physicians Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2348676600

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: 02-26-2020 3593 S Arlington Rd

Akron OH 44312 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D15153004 Facility Name: Summa Physicians Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3308641916

IRRP: Scott T Hamler MD

Site Address: Last Routine Inspection Date: Summa Health System Urgent Care/ 07-02-2018 Corporate Health 2875 W Market St Ste B

Fairlawn OH 44333 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B15153010 Facility Name: Summa Physicians Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: New Application Phone: 3308355533

IRRP: Scott Weiner MD

Site Address: Last Routine Inspection Date: SHMG Orthopaedics & Sports Medicine 5655 Hudson Dr Ste 315

Hudson OH 44236 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H15153013 Facility Name: Summa Physicians Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: New Application Phone: 2348676960

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: SHMG StowKent Urgent Care 3825 Fishcreek Rd Ste 150

Stow OH 44224 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B15153011 Facility Name: Summa Physicians Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: New Application Phone: 2348676233

IRRP: Rod Rozumny RT(R)

Site Address: Last Routine Inspection Date: Summa Tallmadge Urgent Care 60 North Ave Ste G-10

Tallmadge OH 44278 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C15153007 Facility Name: Summa Physicians Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3308990650

IRRP: Scott Weiner MD

Site Address: Last Routine Inspection Date: Summa Health Medical Group 02-11-2019 3838 Massillon Rd Ste 350

Uniontown OH 44685 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H06374002 Facility Name: Superior Med LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7404352340

IRRP: Leisa Arnold

Site Address: Last Routine Inspection Date: 07-22-2020 1230 Clark St Ste A

Cambridge OH 43725 Guernsey County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M18762001 Facility Name: Surgery Center at Corporate Way LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9374344111

IRRP: Amol Soin MD

Site Address: Last Routine Inspection Date: 03-13-2020 7076 Corporate Way Ste 202

Centerville OH 45459 Montgomery County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10L11343003 Facility Name: Surgery Center at Regency Park LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4198855706

IRRP: Glen Bartholow RT(R)

Site Address: Last Routine Inspection Date: 07-23-2019 2000 Regency Ct Ste 101

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10G04032007 Facility Name: Surgery Center at Southwoods LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3309655143

IRRP: Sheryl Gumino RT(R)

Site Address: Last Routine Inspection Date: Southwoods Imaging - Austintown 12-20-2018 1450 S Canfield Niles Rd Ste A

Austintown OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H04032008 Facility Name: Surgery Center at Southwoods LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3309654872

IRRP: Sheryl Gumino RT(R)

Site Address: Last Routine Inspection Date: Southwoods Imaging - Calcutta 08-22-2019 16687 St Clair Ave Ste 101

East Liverpool OH 43920 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L04032005 Facility Name: Surgery Center at Southwoods LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3309655100

IRRP: Sheryl Gumino RT(R)

Site Address: Last Routine Inspection Date: Southwoods Imaging - Market 11-12-2020 7623 Market St

Youngstown OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 M7 Fluoroscopic: Under Table Operating 1 7

Reg #: 10G04032006 Facility Name: Surgery Center at Southwoods LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3309654855

IRRP: Sheryl Gumino RT(R)

Site Address: Last Routine Inspection Date: Southwoods Imaging - University 11-27-2018 1335 Belmont Ave

Youngstown OH 44504 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E04032009 Facility Name: Surgery Center at Southwoods LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3309655104

IRRP: Sheryl Gumino RT(R)

Site Address: Last Routine Inspection Date: 05-03-2019 250 Debartolo Pl

Youngstown OH 44512 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 4 M3 Bone Densitometry Non-Operating 1 6

Reg #: 10B20319001 Facility Name: Surgery Center of North Central Ohio

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4195770095

IRRP: Robert Kobistek MS DABR

Site Address: Last Routine Inspection Date: 11-30-2020 1 Emerald Pkwy

Norwalk OH 44857 Huron County

Tubes Tube Code Description Status Quantity M11 Fluoroscopic: C-Arm (Miniature) Operating 1 1 Reg #: 10M03395002 Facility Name: Surgery Center, The

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4408263240

IRRP: Barbara P Draves

Site Address: Last Routine Inspection Date: 02-22-2021 19250 E Bagley Rd

Middleburg OH 44130 Heights Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 3 M2 Radiographic Mobile Operating 1 5

Reg #: 10A19541001 Facility Name: Surgical Interventions LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2205641985

IRRP: Monica Grennan RT(R)

Site Address: Last Routine Inspection Date: 10-29-2018 1371 W Main St

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10B15159001 Facility Name: Suzette L Huenefeld MD

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4198720242

IRRP: Suzette L Huenefeld MD

Site Address: Last Routine Inspection Date: Perrysburg Fort Meigs Family Practice 05-11-2020 27511 Holiday Ln Ste 101

Perrysburg OH 43551 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10D16864001 Facility Name: Syndolor Medical LLC

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3304699175

IRRP: Jose Torres MD

Site Address: Last Routine Inspection Date: 05-13-2021 1806 E Market St

Warren OH 44483 Trumbull County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10L18015001 Facility Name: Talbert House Health Center

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5133181188

IRRP: Carlsie Crutchfield DDS

Site Address: Last Routine Inspection Date: Centerpoint Health 11-23-2020 333 Conover Dr Ste B & D

Franklin OH 45005 Warren County

Tubes Tube Code Description Status Quantity D1 Intraoral Non-Operating 1 D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 6 Reg #: 10F18015002 Facility Name: Talbert House Health Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 5133181188

IRRP: Carlsie Crutchfield DDS

Site Address: Last Routine Inspection Date: Centerpoint Health School Based Health Center 2020 Sherman Ave Ste 202

Norwood OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 2

Reg #: 10D08292001 Facility Name: Taylor Station Surgical Center Ltd

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6145464646

IRRP: Susan Suchan

Site Address: Last Routine Inspection Date: 07-29-2021 275 Taylor Station Rd

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M2 Radiographic Mobile Operating 1 S3 Cabinet System exclude admittance Operating 1 5 Reg #: 10B08454006 Facility Name: The Healthcare Connection Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: New Application Phone: 5137282130

IRRP: Lynda D Roberts-Riddle DDS

Site Address: Last Routine Inspection Date: Mt Healthy Dental 1411 Compton Rd

Cincinnati OH 45231 Hamilton County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D2 Panoral (only) Operating 1 5

Reg #: 10M08454005 Facility Name: The Healthcare Connection Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5134833088

IRRP: Lynda D Roberts-Riddle DDS

Site Address: Last Routine Inspection Date: Lincoln Heights Health Care Connection 06-25-2019 1401 Steffen Ave

Lincoln Heights OH 45215 Hamilton County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 1 5 Reg #: 10A20286001 Facility Name: The Urology Center LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5138417600

IRRP: Emily M Carmony RT(R) MBA

Site Address: Last Routine Inspection Date: 05-05-2021 2000 Joseph E Sanker Blvd

Cincinnati OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M7 Fluoroscopic: Under Table Operating 5 M9 Fluoroscopic: C-Arm (Stationary) Operating 1 7

Reg #: 10G15550001 Facility Name: Theodore J Togliatti & Co Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4195898819

IRRP: Theodore J Togliatti MD

Site Address: Last Routine Inspection Date: 11-19-2019 339 Cline Ave

Mansfield OH 44907 Richland County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10L06832009 Facility Name: Third Street Community Clinic Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4192891430

IRRP: Michelle Deskins

Site Address: Last Routine Inspection Date: 9th Street Dental 12-16-2020 431 E 9th St

Ashland OH 44805 Ashland County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 D2 Panoral (only) Operating 1 4 Reg #: 10D06832007 Facility Name: Third Street Community Clinic Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4195267867

IRRP: Jessica Brent DPM

Site Address: Last Routine Inspection Date: Third Street Family Health Services 07-03-2018 600 W Third St

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L06832002 Facility Name: Third Street Community Clinic Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4195221939

IRRP: Michelle Deskins

Site Address: Last Routine Inspection Date: Third Street Family Health Services 09-06-2018 600 W Third St

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 8 D2 Panoral (only) Operating 1 9

Reg #: 10M06832008 Facility Name: Third Street Community Clinic Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4195256797

IRRP: Michelle Deskins

Site Address: Last Routine Inspection Date: Shelby Health & Wellness Center 07-16-2019 31 E Main St

Shelby OH 44875 Richland County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 2 D2 Panoral (only) Operating 1 3 Reg #: 10H01789014 Facility Name: Toledo Clinic Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4198852553

IRRP: Kelli Dennis

Site Address: Last Routine Inspection Date: 08-26-2019 6444 Monroe St

Sylvania OH 43560 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 1 2

Reg #: 10G01789011 Facility Name: Toledo Clinic Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4197248368

IRRP: Christopher Perry DO

Site Address: Last Routine Inspection Date: Toledo Clinic ENT 12-26-2019 5800 Park Center Ct Ste C

Toledo OH 43615 Lucas County

Tubes Tube Code Description Status Quantity M13 Cone Beam CT Operating 1 1

Reg #: 10F01789017 Facility Name: Toledo Clinic Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: New Application Phone: 4194795777

IRRP: Joseph N Atallah MD

Site Address: Last Routine Inspection Date: Interventional Pain Consultants 08-25-2021 4345 Secor Rd Bldg 4

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10C01789006 Facility Name: Toledo Clinic Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4194795939

IRRP: Kimberly Stewart RT(R)

Site Address: Last Routine Inspection Date: 04-28-2021 4235 Secor Rd & additional locations

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 6 M10 Fluoroscopic: C-Arm (Mobile) Operating 3 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M3 Bone Densitometry Operating 3 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 2 M6 Stereotactic Biopsy Operating 1 18

Reg #: 10D01789004 Facility Name: Toledo Clinic Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4194795418

IRRP: Janine Phillips

Site Address: Last Routine Inspection Date: Advanced Pain Management 07-14-2020 4235 Secor Rd Bld 1 Upper Level

Toledo OH 43623 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10A00723035 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4198241856

IRRP: James Burns

Site Address: Last Routine Inspection Date: Promedica Maumee Cancer Center 12-17-2018 5805 Monclova Rd

Maumee OH 43537 Lucas County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10H00723037 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 09-30-2023 Facility Status: New Application Phone: 5675850800

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Toledo Hospital Emergency & Urgent Care 1075 Medical Center Pkwy

Maumee OH 43537 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3 Reg #: 10K00723021 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4198916240

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Arrowhead Medical Center 10-20-2020 660 Beavercreek Cir Ste 120

Maumee OH 43537 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10G00723018 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4198727738

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Promedica - Perrysburg 10-18-2018 1601 Brigham Dr Ste 180

Perrysburg OH 43551 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 2 M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10J00723034 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4192916500

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: ProMedica Health and Wellness Center 07-10-2019 5700 Monroe St

Sylvania OH 43560 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M3 Bone Densitometry Operating 2 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 2 M8 Fluoroscopic: Above Table Operating 1 9

Reg #: 10D00723030 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4195318558

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Parkway Surgery Center & Neurosciences 08-05-2019 Lab 2120 & 2130 W Central Ave

Toledo OH 43606 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M8 Fluoroscopic: Above Table Operating 2 S3 Cabinet System exclude admittance Operating 1 9 Reg #: 10C00723014 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4192918624

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Center for Health Services 10-18-2018 2150 W Central Ave

Toledo OH 43606 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H00723020 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4192912130

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Harris McIntosh Tower 09-06-2018 2121 Hughes Ave

Toledo OH 43606 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M5 Mammographic Operating 4 M6 Stereotactic Biopsy Operating 1 S3 Cabinet System exclude admittance Operating 1 8

Reg #: 10M00723026 Facility Name: Toledo Hospital

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4195787071

IRRP: Sven L Gallo MSc

Site Address: Last Routine Inspection Date: Promedica Health Center @ Wildwood 02-13-2020 2865 N Reynolds Rd Ste 150

Toledo OH 43624 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H20005001 Facility Name: Toledo Muslim Doctors Initiative

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 4193436305

IRRP: Nadeem M Khan DDS

Site Address: Last Routine Inspection Date: Halim Clinic 02-05-2020 6855 Spring Valley Dr

Holland OH 43528 Lucas County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 1 1

Reg #: 10C19667001 Facility Name: Toledo Pain Services LTD

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4198431370

IRRP: Mackenzie M Stewart

Site Address: Last Routine Inspection Date: 03-14-2019 1090 W South Boundary Ste 600

Perrysburg OH 43551 Lucas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C01765001 Facility Name: TOSC LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3307581065

IRRP: Leslie J Schwendeman MD

Site Address: Last Routine Inspection Date: Orthopaedic Surgery Center 10-08-2019 8551 Crossroads Dr

Youngstown OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 3 Reg #: 10H05843002 Facility Name: Total Health Group LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 6144575477

IRRP: Maria V Soto DO

Site Address: Last Routine Inspection Date: Doctors on Bethel Road LLC 07-01-2021 1365 Bethel Rd

Columbus OH 43220 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10H01495002 Facility Name: Total Lifetime Care Center

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3305274852

IRRP: Annette L Andrews MD

Site Address: Last Routine Inspection Date: 01-31-2019 1 Memory Ln Ste 200

Garrettsville OH 44231 Portage County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Non-Operating 1 3

Reg #: 10G19163001 Facility Name: Town Street Medical

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6142213300

IRRP: Clayton H Royder DO

Site Address: Last Routine Inspection Date: Columbus Immediate Care 01-12-2018 165 N Murray Hill Rd

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L07416002 Facility Name: Tri County Orthopedic Surgeons Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3308378391

IRRP: Jeffrey M Cochran DO

Site Address: Last Routine Inspection Date: 05-07-2020 3244 Bailey St NW

Massillon OH 44646-3699 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M05562001 Facility Name: Tri State Lung & Sleep Associates Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 3303829355

IRRP: Ghulam R Aziz MD

Site Address: Last Routine Inspection Date: 07-16-2020 16218 St Clair Ave

East Liverpool OH 43920 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A20284001 Facility Name: Tri State Urologic Services PSC Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5138417545

IRRP: Emily M Carmony RT(R) MBA

Site Address: Last Routine Inspection Date: 04-26-2021 2000 Joseph E Sanker Blvd

Cincinnati OH 45212 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 T10 CyberKnife Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 2 6 Reg #: 10F17003002 Facility Name: Tri-County Medical Service Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3308776613

IRRP: Jean A Lang DO

Site Address: Last Routine Inspection Date: 07-13-2021 864 West Maple St

Hartville OH 44632 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L11168001 Facility Name: Tri-State Pain Management Services

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5136247525

IRRP: Kimberly Tanamachi RT(R)

Site Address: Last Routine Inspection Date: 12-19-2019 7655 Five Mile Rd Ste 117

Cincinnati OH 45230 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10B10094007 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5132468856

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TPP Imaging - Western Ridge 07-16-2020 6949 Good Samaritan Dr Ste 200

Cincinnati OH 45247 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K10094011 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5133463399

IRRP: Peggy Wittich

Site Address: Last Routine Inspection Date: TriHealth Priority Care - Glenway Ave 04-30-2019 6139 Glenway Ave

Cincinnati OH 45211 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K10094013 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5133463399

IRRP: Peggy Wittich

Site Address: Last Routine Inspection Date: TriHealth Priority Care - Beechmont 05-08-2019 7991 Beechmont Ave

Cincinnati OH 45255 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K10094015 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5132462300

IRRP: Emily E Dixon DO

Site Address: Last Routine Inspection Date: TriHealth Orthopedic & Spine Institute- 05-08-2019 Cincinnati 8311 Montgomery Rd

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10K10094019 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5133461500

IRRP: Thresa Hooten RT(R)

Site Address: Last Routine Inspection Date: TriHealth Orthopedic & Spine Institute - 04-30-2019 Montgomery 10547 Montgomery Rd Ste 400

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K10094022 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5138536030

IRRP: Christa Lunsford RT(R)

Site Address: Last Routine Inspection Date: TriHealth Hand Surgery Specialists - Oak 05-21-2019 538 Oak St

Cincinnati OH 45219 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K10094023 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5138536030

IRRP: Christa Lunsford RT(R)

Site Address: Last Routine Inspection Date: TriHealth Hand Surgery Specialists - 05-07-2021 Montgomery 10496 Montgomery Rd Ste 104 & additional location

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K10094024 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5133461606

IRRP: Rachael Wilhelm RT

Site Address: Last Routine Inspection Date: TriHealth Orthopedic & Sports Institute - 06-05-2019 Good Sam 6909 Good Samaritan Dr Ste A

Cincinnati OH 45247 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10M10094030 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5137513668

IRRP: Stephanie Boehringer RT(R)

Site Address: Last Routine Inspection Date: TriHealth Orthopedic & Sports - Lone Star 07-19-2018 Ortho 3219 Clifton Ave Ste 300

Cincinnati OH 45220 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C10094031 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5132463161

IRRP: Wendy Baker

Site Address: Last Routine Inspection Date: TriHealth Women's Samaritan OB/GYN 11-07-2018 3219 Clifton Ave Ste 230

Cincinnati OH 45220 Hamilton County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10F10094001 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5132462907

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TPP Imaging - Five MIle 04-06-2018 7794 Five Mile Rd Ste 130 Building B

Cincinnati OH 45255 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10F10094002 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5132467410

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TPP Imaging - Northcreek 01-09-2019 8240 Northcreek Dr

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10F10094005 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5132465667

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TPP Imaging - Anderson Ferry 01-05-2021 2001 Anderson Ferry Rd

Cincinnati OH 45238 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F10094006 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5132467413

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TPP Imaging - Dixmyth 12-31-2019 379 Dixmyth Ave

Cincinnati OH 45220 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10A10094033 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: New Application Phone: 5133464119

IRRP: Bryan P McCullough DO

Site Address: Last Routine Inspection Date: TriHealth Orthopedic & Sports Institute 3035 Hamilton Mason Rd Ste 101

Hamilton OH 45011 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K10094012 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5133463888

IRRP: Peggy Wittich

Site Address: Last Routine Inspection Date: TriHealth Priority Care - Arbor Square 05-21-2019 8350 Arbor Square Dr

Mason OH 45040 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K10094017 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5137916611

IRRP: Emily E Dixon DO

Site Address: Last Routine Inspection Date: TriHealth Orthopedic & Spine Institute -7423 05-21-2019 Mason 7423 S Mason Montgomery Rd Ste A

Mason OH 45040 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10F10094003 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5132046363

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TPP Imaging - 6010 Mason 01-08-2021 6010 Mason Montgomery Rd

Mason OH 45240 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K10094021 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5133461500

IRRP: Thresa Hooten RT(R)

Site Address: Last Routine Inspection Date: TriHealth Orthopedic & Spine Institute - 05-09-2019 Norwood 4030 Smith Rd Ste 350

Norwood OH 45209 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10L10094026 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5138565998

IRRP: Chelsea Wewe RT(R)

Site Address: Last Routine Inspection Date: TriHealth Orthopedic & Sports Medicine - 12-02-2019 Oxford 5151 Morning Sun Rd Ste A

Oxford OH 45056 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J10094032 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 5132462790

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TPP Imaging - Liberty 01-23-2020 8020 Liberty Way

West Chester OH 45069 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10F10094004 Facility Name: TriHealth G LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5132465435

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TPP Imaging - Princeton 05-07-2021 8040 Princeton Glendale Rd

West Chester OH 45069-5936 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10H17518004 Facility Name: TriHealth Hospital Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 5139779640

IRRP: Michael Wolujewicz MD

Site Address: Last Routine Inspection Date: TriHealth Surgery Center Anderson 05-28-2021 7794 Five Mile Rd Bldg C

Cincinnati OH 45230 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10B09013016 Facility Name: Trinity Health System

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7403204048

IRRP: Jacob Brown MD

Site Address: Last Routine Inspection Date: TriHealth Express Care Cadiz 01-08-2019 82424 Cadiz Jewitt Rd

Cadiz OH 43907 Harrison County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F09013014 Facility Name: Trinity Health System

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 7403462702

IRRP: Jacob Brown MD

Site Address: Last Routine Inspection Date: Calcutta Express Clinic 11-16-2018 15655 St Rt 170 Ste B

East Liverpool OH 43920 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D09013008 Facility Name: Trinity Health System

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7402832062

IRRP: Jacob Brown MD

Site Address: Last Routine Inspection Date: Trinity Joint & Spine Center 11-01-2018 4100 Johnson Rd Ste 102

Steubenville OH 43952 Jefferson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G09013012 Facility Name: Trinity Health System

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 7402663866

IRRP: Jacob Brown MD

Site Address: Last Routine Inspection Date: Trinity Sports Medicine and Performance 12-03-2019 Center 3151 Johnson Rd

Steubenville OH 43952 Jefferson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10M09013004 Facility Name: Trinity Health System

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7405371544

IRRP: Jacob Brown

Site Address: Last Routine Inspection Date: Toronto Outpatient Center 12-03-2019 1800 Franklin St

Toronto OH 43964 Jefferson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D09013011 Facility Name: Trinity Health System

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7403462702

IRRP: Jacob Brown MD

Site Address: Last Routine Inspection Date: Trinity West - Trinity ExpressCare 08-10-2020 148 Main St

Wintersville OH 43953 Jefferson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J09018003 Facility Name: Trinity Health System-Trinity Hospital Holding Co

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 7406956917

IRRP: Jacob Brown MD

Site Address: Last Routine Inspection Date: 01-27-2020 106 Plaza Dr W Ste D

Saint Clairsville OH 43950 Belmont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10M09018002 Facility Name: Trinity Health System-Trinity Hospital Holding Co

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7402837848

IRRP: Jacob Brown MD

Site Address: Last Routine Inspection Date: Images - Trinity Health Systems 08-10-2020 1 Ross Park Ste 102

Steubenville OH 43952 Jefferson County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 3 Reg #: 10D20438001 Facility Name: Triven Health

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6142618188

IRRP: Naveen Bekkam MD

Site Address: Last Routine Inspection Date: PrimeMD 02-19-2021 909 Morse Rd

Columbus OH 43229 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D20438002 Facility Name: Triven Health

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6145751200

IRRP: Naveen Bekkam MD

Site Address: Last Routine Inspection Date: PrimeMD 02-19-2021 5175 E Main St

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10D20438004 Facility Name: Triven Health

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 6143728033

IRRP: Naveen Bekkam MD

Site Address: Last Routine Inspection Date: PrimeMD 07-06-2021 85 Phillipi Rd

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1 Reg #: 10D20438003 Facility Name: Triven Health

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 7406540232

IRRP: Naveen Bekkam MD

Site Address: Last Routine Inspection Date: PrimeMD 02-17-2021 1981 Granville Pike

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D20438005 Facility Name: Triven Health

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 8446772378

IRRP: Naveen Bekkam MD

Site Address: Last Routine Inspection Date: PrimeMD 07-06-2021 5051 Forest Dr

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10G05685001 Facility Name: Tuscarawas Ambulatory Surgery Center LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3303652101

IRRP: Annette Marshall RT(R)

Site Address: Last Routine Inspection Date: 12-14-2018 320 Oxford St

Dover OH 44622 Tuscarawas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M2 Radiographic Mobile Operating 1 2 Reg #: 10J19323001 Facility Name: Tuscarawas Valley Regional Cancer Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3303648959

IRRP: Philip Schneider MD

Site Address: Last Routine Inspection Date: 05-17-2021 300 Medical Park Dr

Dover OH 44622 Tuscarawas County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10F16315001 Facility Name: Union Internal Medicine Specialties Ltd

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3303434411

IRRP: Michele D Fleak MD

Site Address: Last Routine Inspection Date: 01-23-2019 515 Union Ave Ste 187

Dover OH 44622 Tuscarawas County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1

Reg #: 10L18009001 Facility Name: Union Physician Services LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3303433335

IRRP: Loretta L Miller RT(R)

Site Address: Last Routine Inspection Date: East Ohio Orthopaedics 04-22-2019 515 Union Ave Ste 167

Dover OH 44622 Tuscarawas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B18009003 Facility Name: Union Physician Services LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3303430753

IRRP: Melissa Miranda

Site Address: Last Routine Inspection Date: First Care 11-10-2020 110 Dublin Dr

Dover OH 44622 Tuscarawas County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A18009002 Facility Name: Union Physician Services LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 7404989828

IRRP: D Jeffrey Burrier MD

Site Address: Last Routine Inspection Date: Newcomerstown Union Physician Services 01-23-2019 60881 County Road 9

Newcomerstown OH 43832 Coshocton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H18508001 Facility Name: United Medical Group LLC

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4402329800

IRRP: Pradheep Jothi Shanker MD

Site Address: Last Routine Inspection Date: 12-20-2018 22750 Rockside Rd Ste 210

Bedford OH 44146 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M4 C.T. (Computerized Tomography) Non-Operating 1 2 Reg #: 10J18339003 Facility Name: Unity Health Network LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3309263231

IRRP: Nicholas A Camppitelli DPM

Site Address: Last Routine Inspection Date: 07-19-2018 2660 W Market St Ste 101

Fairlawn OH 44333 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F18339002 Facility Name: Unity Health Network LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 3309263495

IRRP: Thomas C Myers DO

Site Address: Last Routine Inspection Date: Summit Dermatology 05-17-2021 4275 Steels Pointe Rd

Stow OH 44221 Summit County

Tubes Tube Code Description Status Quantity T1 Therapy - Operates <= 250 kVp Operating 1 1

Reg #: 10B18141002 Facility Name: University Hospital Medical Group Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2168446001

IRRP: Danielle Covelli

Site Address: Last Routine Inspection Date: University Hospitals Div of Rheumatology 02-23-2021 3909 Orange Pl Ste 3100

Orange Village OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10C16735006 Facility Name: University Hospitals Ahuja Medical Center

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 2165985537

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Fairlawn Health Center 08-07-2018 3800 Embassy Pkwy

Akron OH 44333 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 3

Reg #: 10G16735005 Facility Name: University Hospitals Ahuja Medical Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 2165935537

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: University Hospitals Solon Health Center 03-16-2020 34055 Solon Rd

Solon OH 44139 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K16735007 Facility Name: University Hospitals Ahuja Medical Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Suburban Health Center 07-28-2020 1611 S Green Rd Ste 016

South Euclid OH 44121 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 M1 Radiographic (Stationary) Operating 4 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 M7 Fluoroscopic: Under Table Non-Operating 1 10

Reg #: 10D04985110 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 01-31-2023 Facility Status: New Application Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Avon Seidman Cancer Center 2075 Healthway Dr

Avon OH 44011 Lorain County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3 Reg #: 10B04985084 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2162866911

IRRP: David W Jordan PhD

Site Address: Last Routine Inspection Date: Cleveland Browns Training & Administrative 04-26-2018 Complex 76 Lou Groza Blvd

Berea OH 44017 Cuyahoga County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10M04985093 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Broadview Heights Health Center 01-16-2020 5901 E Royalton Rd N

Broadview Heights OH 44147 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 7 Reg #: 10F04985087 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4408168744

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Brook Park Radiology 08-21-2018 15900 Snow Rd & 5260 Smith Rd

Brook Park OH 44142 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A04985108 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Geauga Seidman Cancer Center 10-07-2020 13207 Ravenna Rd

Chardon OH 44024 Geauga County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 2

Reg #: 10B04985105 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Rainbow Center for Women and 08-06-2019 Children 5805 Euclid Ave

Cleveland OH 44103 Cuyahoga County

Tubes Tube Code Description Status Quantity D2 Panoral (only) Operating 1 D7 Hand-held Dental Operating 2 3 Reg #: 10G04985106 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Otis Moss Health Center 10-16-2019 8819 Quincy Ave

Cleveland OH 44106 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E04985049 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 2163835993

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Lakeshore - Cleveland 04-11-2019 18599 Lakeshore Blvd

Cleveland OH 44119 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10E04985056 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3306552161

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Hudson Health Center 11-17-2020 5778 Darrow Rd

Hudson OH 442363815 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2 Reg #: 10G04985089 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Independence Health Center 12-17-2018 6150 Oak Tree Blvd Ste 100B

Independence OH 44131 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F04985051 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4406462324

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Landerbrook Health Center 08-21-2018 5850 Landerbrook Dr Ste 200

Mayfield Heights OH 44124 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10A04985064 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 2168443456

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Mayfield Village Health Center 03-29-2021 730 SOM Center Rd Ste 110

Mayfield Village OH 44143 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10L04985069 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Medina Health Center 03-23-2020 4001 Carrick Dr Ste 110

Medina OH 44256 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10E04985050 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 4409744423

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Mentor Medical Center 08-20-2020 9000 Mentor Ave

Mentor OH 44060 Lake County

Tubes Tube Code Description Status Quantity D7 Hand-held Dental Operating 2 M1 Radiographic (Stationary) Operating 2 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 8 Reg #: 10M04985104 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH North Ridgeville Health Center 08-06-2018 32800 Lorain Rd

North Ridgeville OH 44039 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 6

Reg #: 10C04985038 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 2168961710

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Chagrin Highlands Health Center 05-16-2018 3909 Orange Pl

Orange Village OH 44122 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 3 M6 Stereotactic Biopsy Operating 1 M7 Fluoroscopic: Under Table Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 12 Reg #: 10A04985109 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: New Application Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Parma Seidman Cancer Center 6525 Powers Blvd Medical Arts Ctr 3

Parma OH 44129 Cuyahoga County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 2

Reg #: 10G04985091 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3302357081

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Seidman Cancer Center at Portage 01-31-2019 6847 N Chestnut St

Ravenna OH 442266 Portage County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 2

Reg #: 10K04985102 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR

Site Address: Last Routine Inspection Date: UH Suburban Surgery Center 08-25-2021 1611 S Green Rd Ste 124

South Euclid OH 44121 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 S3 Cabinet System exclude admittance Operating 1 3 Reg #: 10J04985062 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3304051500

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Twinsburg Health Center 05-13-2021 8819 Commons Blvd

Twinsburg OH 44087 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10G04985066 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3302394455

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Sharon Health Center 11-15-2018 5133 Ridge Rd

Wadsworth OH 442819708 Medina County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H04985052 Facility Name: University Hospitals Cleveland Medical Center

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4403567100

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Westlake Health Center 09-23-2020 960 Clague Rd

Westlake OH 44145 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 M5 Mammographic Operating 1 T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 12

Reg #: 10J18932018 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4405694720

IRRP: Michelle Dossa BS RT(R) MSM

Site Address: Last Routine Inspection Date: UH Tri City Amherst Radiology 02-13-2020 101 Cooper Foster Park Rd

Amherst OH 44001 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10M09889009 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Andover Health Center 09-27-2018 476 S Main St

Andover OH 44003 Ashtabula County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10C04546005 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 4192079272

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: Samaritan Women's Health Services 03-02-2020 2212 Mifflin Ave

Ashland OH 44805 Ashland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10G04546006 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4192890491

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: Samaritan Medical Office Building 11-06-2018 1941 S Baney Rd

Ashland OH 44805 Ashland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F09925010 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Ashtabula Health Center 10-21-2020 3315 N Ridge Rd E Unit 700

Ashtabula OH 44004 Ashtabula County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M4 C.T. (Computerized Tomography) Operating 1 3

Reg #: 10J17910002 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3305623169

IRRP: Judy A Mink MPS RT(R)

Site Address: Last Routine Inspection Date: UH Portage Imaging Center at Aurora 03-31-2021 700 Walden Pl

Aurora OH 44202 Portage County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10J18932017 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4405694680

IRRP: Michelle Dossa BS RT(R) MSM

Site Address: Last Routine Inspection Date: UH Tri City Avon Radiology 02-13-2020 1480 Center Rd Ste A

Avon OH 44011 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F18932006 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4403297368

IRRP: Michelle Dossa BS RT(R) MSM

Site Address: Last Routine Inspection Date: University Hospitals Avon Health Center 01-20-2021 1997 Healthway Dr

Avon OH 440112834 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4

Reg #: 10G09889007 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4402856380

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Concord Health Center 04-17-2019 7500 Auburn Rd

Concord OH 44077 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 3 Reg #: 10B18932012 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4404149260

IRRP: William Walbom

Site Address: Last Routine Inspection Date: EMH Healthcare Elyria - Dewhurst 07-09-2020 10325 Dewhurst Rd

Elyria OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J17910003 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3306777667

IRRP: Michael E Walker RT(R)(CT)(N)

Site Address: Last Routine Inspection Date: UH Portage Imaging Center at Kent 01-13-2021 401 Devon Pl Ste 101

Kent OH 44240 Portage County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 5

Reg #: 10H04546007 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 4192072440

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: Kettering-Samaritan Health Center 08-26-2020 546 N Union St

Loudonville OH 44842 Ashland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10F09925008 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 4404284057

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: Geneva Medical Center Madison Site 11-14-2018 701 N Lake St

Madison OH 44057 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K04546011 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Samaritan Richland Health Center 06-07-2021 1033 Ashland Rd

Mansfield OH 44905 Richland County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10J09889008 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4406320417

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: UH Geauga Medical Center / Middlefield 09-27-2018 Radiology 15976 E High St

Middlefield OH 44062 Geauga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10B18932014 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4404149700

IRRP: William Walbom

Site Address: Last Routine Inspection Date: EMH Healthcare - Olmsted Falls 08-03-2020 26908 Cook Rd

Olmsted Falls OH 44138 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J09925007 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 4403544487

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: Geneva Medical Center Painesville Site 11-12-2020 470 Bacon Rd

Painesville OH 44077 Lake County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K18932010 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4403297500

IRRP: Michelle Dossa BS RT(R) MSM

Site Address: Last Routine Inspection Date: University Hospitals Sheffield Health Center 01-15-2020 5001 Transportation Dr

Sheffield Village OH 44054 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 3 Reg #: 10J17910004 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3304227768

IRRP: Michael E Walker RT(R)(CT)(N)

Site Address: Last Routine Inspection Date: UH Portage Imaging Center at Streetsboro 02-10-2021 9318 St Rt 14

Streetsboro OH 44241 Portage County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 4

Reg #: 10A17910006 Facility Name: University Hospitals Health System Inc

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 3306337090

IRRP: Michael E Walker RT(R)(CT)(N)

Site Address: Last Routine Inspection Date: UH Portage Imaging at Tallmadge 11-13-2018 145 West Ave Ste 3

Tallmadge OH 44278 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Non-Operating 1 1

Reg #: 10G01797024 Facility Name: University of Cincinnati

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5135584110

IRRP: Terry Lindley MRHP CHP

Site Address: Last Routine Inspection Date: CCHMC - Eastgate 07-25-2018 796 Batavia Old St Rt 74

Batavia OH 45103 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D01797051 Facility Name: University of Cincinnati

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 5135584110

IRRP: Terry Lindley MRHP CHP

Site Address: Last Routine Inspection Date: CCHMC - Green Township 07-15-2019 5899 Harrison Ave

Cincinnati OH 45248 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10L01797058 Facility Name: University of Cincinnati

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 5135584110

IRRP: Terry Lindley MRHP CHP

Site Address: Last Routine Inspection Date: CCHMC - Hamilton 07-18-2018 5642 Hamilton Ave

Cincinnati OH 45224 Hamilton County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1

Reg #: 10B01797059 Facility Name: University of Cincinnati

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5135584110

IRRP: Terry Lindley MRHP CHP

Site Address: Last Routine Inspection Date: CCHMC - Kenwood 11-16-2020 7690 Montgomery Rd

Cincinnati OH 45236 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10A01797023 Facility Name: University of Cincinnati

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5135584110

IRRP: Terry Lindley MRHP CHP

Site Address: Last Routine Inspection Date: CCHMC - Anderson 11-16-2020 7495 State Rd

Cincinnati OH 45255 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2

Reg #: 10M01797025 Facility Name: University of Cincinnati

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5135584110

IRRP: Terry Lindley MRHP CHP

Site Address: Last Routine Inspection Date: CCHMC - Fairfield 03-05-2021 3050 Mack Rd

Fairfield OH 45014 Butler County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 4 D5 Extraoral with Panoral Operating 1 M1 Radiographic (Stationary) Operating 1 6

Reg #: 10G01797027 Facility Name: University of Cincinnati

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 5135584110

IRRP: Terry Lindley MRHP CHP

Site Address: Last Routine Inspection Date: CCHMC - Mason 07-25-2018 9560 Childrens Dr

Mason OH 45040 Warren County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10M10973003 Facility Name: University of Cincinnati Medical Center LLC

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 5139364556

IRRP: Greg Little

Site Address: Last Routine Inspection Date: University Health Services - Montgomery 10-09-2018 9275 Montgomery Rd Ste 300

Cincinnati OH 45242 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K10973006 Facility Name: University of Cincinnati Medical Center LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5134757810

IRRP: Greg Little

Site Address: Last Routine Inspection Date: White Oak Orthopedics 01-07-2021 5571 & 5575 Cheviot Rd

Cincinnati OH 45247 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B10973007 Facility Name: University of Cincinnati Medical Center LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 5134581750

IRRP: Greg Little

Site Address: Last Routine Inspection Date: Midtown Ambulatory Center 05-03-2021 3590 Lucille Dr

Cincinnati OH 45213 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 M5 Mammographic Operating 1 4 Reg #: 10K10973010 Facility Name: University of Cincinnati Medical Center LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5135841143

IRRP: Greg Little

Site Address: Last Routine Inspection Date: Orthopaedics Imaging at Anderson 05-24-2019 7981 Beechmont Ave

Cincinnati OH 45255 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A15834007 Facility Name: University of Cincinnati Physicians Company LLC

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 5135562564

IRRP: Lisa C Lemen PhD

Site Address: Last Routine Inspection Date: University Health Services 05-03-2021 2751 O'Varsity Way 3rd Flr

Cincinnati OH 45221 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K15776002 Facility Name: University Otolaryngologists Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6145382424

IRRP: Melody Colopy

Site Address: Last Routine Inspection Date: Ohio ENT 01-14-2020 974 Bethel Rd Ste A

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M4 C.T. (Computerized Tomography) Operating 1 1 Reg #: 10L15776004 Facility Name: University Otolaryngologists Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6147555151

IRRP: Melody Colopy

Site Address: Last Routine Inspection Date: Ohio ENT 12-16-2019 6573 E Broad St

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M13 Cone Beam CT Operating 1 1

Reg #: 10D09874036 Facility Name: University Primary Care Practices Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3309230553

IRRP: Rahul P Khandekar DPM

Site Address: Last Routine Inspection Date: UHMP - Internal Medicine Specialists 03-16-2021 96 Graham Rd Ste A

Cuyahoga Falls OH 44223 Summit County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 M3 Bone Densitometry Operating 1 2

Reg #: 10M09874044 Facility Name: University Primary Care Practices Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 2165845555

IRRP: Jared S Levin MD

Site Address: Last Routine Inspection Date: UHMP Center of Orthopedic Surgery Inc - 09-25-2018 Garfield 1 Infinity Corporate Centre Dr Ste 160

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L09874046 Facility Name: University Primary Care Practices Inc

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 2168441295

IRRP: Ahmad Hatami DABR DABMP

Site Address: Last Routine Inspection Date: Oberlin Clinic 09-21-2020 319 W Lorain St

Oberlin OH 44074 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10D09874040 Facility Name: University Primary Care Practices Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 4408844114

IRRP: Salvatore P Sidoti DPM

Site Address: Last Routine Inspection Date: Salvatore P Sidoti DPM 07-12-2018 6681 Ridge Rd Ste 405

Parma OH 44129 5705 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10M09874045 Facility Name: University Primary Care Practices Inc

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 4408456400

IRRP: Jared S Levin MD

Site Address: Last Routine Inspection Date: UHMP Center of Orthopedic Surgery Inc - 10-25-2018 Parma 6789 Ridge Rd Ste 100

Parma OH 44129 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C03868001 Facility Name: Upper Arlington Surgery Center Ltd

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6144426515

IRRP: William Esham MD

Site Address: Last Routine Inspection Date: 07-01-2020 2240 N Bank Dr

Columbus OH 43220 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 3

Reg #: 10L05801009 Facility Name: Upper Valley Medical Center

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 9374407367

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: Outpatient Care Center North Imaging 07-17-2018 280 Looney Rd

Piqua OH 45356 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3 Reg #: 10F05801008 Facility Name: Upper Valley Medical Center

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 9376674742

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: Hyatt Imaging Center 10-22-2019 450 N Hyatt St

Tipp City OH 45371 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 5

Reg #: 10A05801007 Facility Name: Upper Valley Medical Center

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 9374404000

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: Stanfield Imaging Center 04-30-2019 31 Stanfield Rd

Troy OH 45373 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B05801006 Facility Name: Upper Valley Medical Center

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9373327345

IRRP: Katherine Miley RT(R)(MR)

Site Address: Last Routine Inspection Date: Outpatient Care Center South 05-24-2019 998 S Dorset

Troy OH 45373 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10K15725001 Facility Name: Urgent Care of Fairfield LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 5138689999

IRRP: Husam Hamed MD

Site Address: Last Routine Inspection Date: 05-27-2021 3300 Princeton Rd

Hamilton OH 45011 Butler County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H16388001 Facility Name: Urgent Care of Wauseon

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 4193354600

IRRP: Sandra Naves

Site Address: Last Routine Inspection Date: 11-01-2018 1190 N Shoop Ave

Wauseon OH 43567 Fulton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10G19916001 Facility Name: Urgent Care Services LLC

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6142246421

IRRP: Mark A Denny MD

Site Address: Last Routine Inspection Date: Enhanced Urgent Care by ESI 09-05-2019 3615 Fishinger Blvd

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M2 Radiographic Mobile Operating 1 1 Reg #: 10C20407026 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3302384455

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Alliance 02-05-2021 1939 W State St

Alliance OH 44601 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407027 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5138153851

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Colerain 04-19-2021 8459 Colerain Ave Ste C

Cincinnati OH 45329 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407028 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5138153852

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Springdale 04-07-2021 10575 Springfield Pike

Cincinnati OH 45215 Hamilton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407009 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 9375364000

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Clayton 08-23-2021 7709 Hoke Rd

Clayton OH 45315 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407001 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6142634400

IRRP: Jo Householder RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Clintonville 04-29-2021 4400 N High St Ste 101

Columbus OH 43214 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407003 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6142721100

IRRP: Jo Householder RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Clime Rd 04-01-2021 4300 Clime Rd Ste 110

Columbus OH 43228 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407004 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6144722880

IRRP: Jo Householder RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Easton 04-29-2021 2880 Stelzer Rd

Columbus OH 43219 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407005 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6146811100

IRRP: Jo Householder RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Morse Rd 04-29-2021 1615 Morse Rd

Columbus OH 43224 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407010 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 9379631990

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Cart - Dayton 08-19-2021 3602 N Main St

Dayton OH 45405 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407018 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 2168106100

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Garfield Heights 03-03-2021 12813 Rockside Rd

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407006 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6148350400

IRRP: Jo Householder RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Groveport 04-29-2021 3813 S Hamilton Rd

Groveport OH 43125 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407002 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 6149210648

IRRP: Jo Householder RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Hilliard 04-01-2021 2371 Hilliard Rome Rd

Hilliard OH 43026 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407011 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 9372368630

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Huber Heights 08-23-2021 6210 Brandt Pike

Huber Heights OH 45424 Montgomery County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407007 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7409944110

IRRP: Jo Householder RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Lancaster 03-01-2021 1612 N Memorial Dr

Lancaster OH 43130 Fairfield County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407019 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 3308091800

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Massillon 1111 Lincoln Way E

Massillon OH 44646 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407012 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 5138315900

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Milford 08-25-2021 1068 C St Rt 28

Milford OH 45150 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407020 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3304097700

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - North Canton 02-05-2021 1444 N Main St

North Canton OH 44720 Stark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407021 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 4408098132

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Parma 06-17-2021 7715 W Ridgewood Dr

Parma OH 44129 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407022 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3306292300

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Poland 03-04-2021 1301 Boardman Poland Rd

Poland OH 44514 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407023 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 2162859667

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Shaker Heights 03-02-2021 20300 Chagrin Blvd

Shaker Heights OH 43122 Cuyahoga County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407013 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9374921961

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Sidney 02-24-2021 1540 W Michigan St

Sidney OH 45365 Shelby County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407014 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 9373226222

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Springfield S 07-28-2021 1301 W 1st St

Springfield OH 45504 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407015 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 9373429520

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Springfield N 07-28-2021 1200 Vester Ave

Springfield OH 45503 Clark County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407016 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 9373353100

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Troy 08-24-2021 1430 W Main St

Troy OH 45373 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407024 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3305059400

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Niles 03-04-2021 1997 Niles Cortland Rd SE

Warren OH 44484 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407025 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3303458032

IRRP: Kelly Reinhart RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Wooster 02-05-2021 4164 Burbank Rd

Wooster OH 45432 Wayne County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10C20407017 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 9373726012

IRRP: Elizabeth Kolonis RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Xenia 07-27-2021 101 S Orange Ave

Xenia OH 45432 Greene County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10C20407008 Facility Name: Urgent Care Specialists LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 7405202800

IRRP: Jo Householder RT(R)

Site Address: Last Routine Inspection Date: WellNow Urgent Care - Zanesville 03-02-2021 2564 Maple Ave

Zanesville OH 43701 Muskingum County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K16535001 Facility Name: Urologic Oncology of Mahoning Valley LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3307796815

IRRP: Munir Ahmad MD

Site Address: Last Routine Inspection Date: Partners for Urology Health 08-18-2020 6262 Mahoning Ave

Austintown OH 44515 Mahoning County

Tubes Tube Code Description Status Quantity T3 Therapy - Operates >= 1 MV (Linac) Operating 1 T4 Simulator: C.T. Operating 1 T7 Integrated kVp - Rad/CT/Fluoroscopy (OBI) Operating 1 3

Reg #: 10K20150001 Facility Name: UTP/Great Lakes Vascular Institute

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 4195171000

IRRP: Munier MS Nazzal MD

Site Address: Last Routine Inspection Date: 03-12-2020 3439 Granite Cir Ste 200

Toledo OH 43617 Lucas County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10K16580001 Facility Name: UVPC Specialists Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9373353561

IRRP: Tracey Houston

Site Address: Last Routine Inspection Date: Premier Orthopedics ±Troy 05-12-2020 3130 N County Rd 25A Ste 116

Troy OH 45373 Miami County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K01137001 Facility Name: V George Zochowski DO Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 7409277665

IRRP: V George Zochowski DO

Site Address: Last Routine Inspection Date: 09-04-2018 8200 Hazelton Etna Rd Ste 100

Pataskala OH 43062 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L19445001 Facility Name: VACCO LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6142210222

IRRP: Carl L Hunlock BS RT(R)CT

Site Address: Last Routine Inspection Date: 07-19-2018 815 W Broad St Ste 320

Columbus OH 43222 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10E02063001 Facility Name: Valley Medical Facilities Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3303868855

IRRP: Geno A Crisci

Site Address: Last Routine Inspection Date: Calcutta Imaging & Lab 04-06-2020 48462 Bell School Rd Ste B

East Liverpool OH 43920 Columbiana County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 3

Reg #: 10C04037001 Facility Name: Valley Regional Surgery Center

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 9377783848

IRRP: Tyler Cantrell

Site Address: Last Routine Inspection Date: 06-10-2020 283 Looney Rd

Piqua OH 45356 Miami County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10M01530001 Facility Name: Valley Surgical Center Ltd

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 7402640145

IRRP: Tammy Lemasters RN

Site Address: Last Routine Inspection Date: 11-01-2018 2323 Sunset Blvd

Steubenville OH 43952 Jefferson County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1 Reg #: 10D20469001 Facility Name: Valor Healthcare Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: New Application Phone: 7406959321

IRRP: Beth Borsos RT(R)

Site Address: Last Routine Inspection Date: Belmont County VA Primary Care Clinic 07-07-2021 67800 Mall Ring Rd Unit 215

Saint Clairsville OH 43950 Belmont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A00621008 Facility Name: Van Wert County Hospital Association

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4192388630

IRRP: Eric V Jelinger MD

Site Address: Last Routine Inspection Date: Van Health North 08-18-2021 214 Towne Center Blvd

Van Wert OH 45891 Van Wert County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10B00621005 Facility Name: Van Wert County Hospital Association

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 4192388630

IRRP: Eric V Jelinger MD

Site Address: Last Routine Inspection Date: 02-15-2019 140 Fox Rd Ste 106

Van Wert OH 45891 Van Wert County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 4 Reg #: 10L05510001 Facility Name: Van Wert Family Physicians LLC

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 4192386251

IRRP: Michelle Geib RT(R)

Site Address: Last Routine Inspection Date: Terrence L Johnson MD & Robert C Adams 03-20-2019 MD PTR 1178 Professional Dr

Van Wert OH 45891 Van Wert County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10A18833001 Facility Name: Van Wert Medical Services Ltd

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 4193633008

IRRP: Rachel Moorman RT(R)

Site Address: Last Routine Inspection Date: Van Wert County Hospital 09-17-2019 506 S Main St

Rockford OH 45882 Mercer County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10L16572001 Facility Name: Vascular Access Center of Central Ohio

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6142210222

IRRP: Carl L Hunlock BS RT(R)CT

Site Address: Last Routine Inspection Date: Lifeline Vascular Access 02-06-2019 815 W Broad St Ste 320

Columbus OH 43222 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2 Reg #: 10C20383001 Facility Name: Vascular Institute of Cleveland LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: New Application Phone: 2163657900

IRRP: Aleksandr Shvartsman RT(R)

Site Address: Last Routine Inspection Date: 06-21-2021 12575 Rockside Rd Ste 102

Garfield Heights OH 44125 Cuyahoga County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10J20042001 Facility Name: Vascular Institute of Columbus LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6148101300

IRRP: Alexandr Shvartsman RT(R)

Site Address: Last Routine Inspection Date: 06-18-2020 6503 E Broad St Ste 200

Columbus OH 43213 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10D17531001 Facility Name: Verodana Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3308477778

IRRP: Zachary F Veres DO

Site Address: Last Routine Inspection Date: 07-31-2019 4687 Mahoning Ave NW

Warren OH 44483 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E15339002 Facility Name: Vineyard Community Center

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 6142595511

IRRP: Carol Achmoody

Site Address: Last Routine Inspection Date: 07-26-2019 6000 Cooper Rd

Westerville OH 43081 Franklin County

Tubes Tube Code Description Status Quantity D1 Intraoral Operating 3 3

Reg #: 10E00573001 Facility Name: Washington Commercial LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7403337296

IRRP: Beverly J Yamour MD

Site Address: Last Routine Inspection Date: 07-11-2019 4 Commerical Ave

Washington Court OH 43160 House Fayette County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H06221003 Facility Name: Wedgewood Urgent Care Ltd

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 7405220222

IRRP: Thomas Wall RT(R)

Site Address: Last Routine Inspection Date: Immediate Health Urgent Care @ Newark 12-19-2018 1906 Tamarack Rd

Newark OH 43055 Licking County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10L06221001 Facility Name: Wedgewood Urgent Care Ltd

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 6149239200

IRRP: Thomas Wall RT(R)

Site Address: Last Routine Inspection Date: Immediate Health Urgent Care @ 01-11-2021 Wedgewood 10330 Sawmill Pkwy Ste 300

Powell OH 43065 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J06221004 Facility Name: Wedgewood Urgent Care Ltd

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 6149658305

IRRP: Thomas Wall RT(R)

Site Address: Last Routine Inspection Date: Immediate Health Urgent Care @ Sunbury 04-29-2021 101-D W Cherry St

Sunbury OH 43074 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K06221002 Facility Name: Wedgewood Urgent Care Ltd

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 6148391118

IRRP: Thomas Wall RT(R)

Site Address: Last Routine Inspection Date: Immediate Health Urgent Care @ Westar 01-20-2021 444 N Cleveland Ave Ste 130

Westerville OH 43082 Delaware County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10D18146002 Facility Name: Weirton Medical Center Inc

Type: Clinic Expiration Date: 01-31-2023 Facility Status: Active Registrant Phone: 3047976021

IRRP: Sanjay Gupta MD

Site Address: Last Routine Inspection Date: WMC Physician Practices LLC 12-01-2020 2315 Sunset Blvd Ste C

Steubenville OH 43952 Jefferson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B18146001 Facility Name: Weirton Medical Center Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 7405373860

IRRP: Augusto P Fojas MD

Site Address: Last Routine Inspection Date: WMC Lab & X-ray at Toronto 06-11-2021 1828 Franklin St

Toronto OH 43964 Jefferson County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10F09821001 Facility Name: Welden Medical LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 5139479115

IRRP: Noor Hassan

Site Address: Last Routine Inspection Date: 07-08-2020 872 Ohio Pike

Cincinnati OH 45245 Clermont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Non-Operating 1 M3 Bone Densitometry Non-Operating 1 3 Reg #: 10B20336001 Facility Name: Wellington Specialty Surgery Center LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 9375090305

IRRP: Patrick Messerschmitt MD

Site Address: Last Routine Inspection Date: 02-03-2021 4355 Ferguson Dr Ste 190

Cincinnati OH 45245 Clermont County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 2

Reg #: 10C20364001 Facility Name: West Chester Surgical Suites LLC

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 5136753802

IRRP: Aaron W Barnette RN

Site Address: Last Routine Inspection Date: 03-03-2021 8742-8744 Union Centre Blvd

West Chester OH 45069 Butler County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 2

Reg #: 10G20626001 Facility Name: West Medical Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 3308309378

IRRP: Katharine Morrison DO

Site Address: Last Routine Inspection Date: 07-01-2021 2037 Wales Ave NW Ste 130

Massillon OH 44646 Stark County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 1 Reg #: 10F19833001 Facility Name: West Virginia University Medical Corporation

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 7404235055

IRRP: Angela Eakins

Site Address: Last Routine Inspection Date: University Health Associates 07-25-2019 610 Washington Blvd

Belpre OH 45714 Washington County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 1 2

Reg #: 10H17052001 Facility Name: Western Hills Interventional Pain LLC

Type: Clinic Expiration Date: 09-30-2021 Facility Status: Active Registrant Phone: 5138427781

IRRP: Sung Min MD

Site Address: Last Routine Inspection Date: 07-02-2018 3860 Race Rd Ste 203

Cincinnati OH 45211 Hamilton County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 1

Reg #: 10E16329002 Facility Name: Western Reserve Hospital LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3309717473

IRRP: Ronald Scala MS

Site Address: Last Routine Inspection Date: Western Reserve Hospital Urgent Care 03-29-2021 Clinic 3913 Darrow Rd

Stow OH 44424 Summit County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E08977002 Facility Name: Wheelersburg Medical Associates

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 7405742042

IRRP: James McGinnis

Site Address: Last Routine Inspection Date: 04-17-2017 8046 Ohio River Rd Ste A

Wheelersburg OH 45694 Scioto County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Non-Operating 1 1

Reg #: 10E19782001 Facility Name: Wheeling Hospital Ambulatory Surgical Center LLC

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3042438820

IRRP: Jennifer Bond RT(R)M CRA

Site Address: Last Routine Inspection Date: 03-11-2020 68 St Rt 7

Bridgeport OH 43912 Belmont County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 1 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 2

Reg #: 10E19796003 Facility Name: Wheeling Hospital Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3042438820

IRRP: Jennifer Bond RT(R)M CRA

Site Address: Last Routine Inspection Date: Bellaire Health Center 06-06-2019 3000 Guernsey St

Bellaire OH 43906 Belmont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10E19796002 Facility Name: Wheeling Hospital Inc

Type: Clinic Expiration Date: 03-31-2023 Facility Status: Active Registrant Phone: 3042438820

IRRP: Jennifer Bond RT(R)M CRA

Site Address: Last Routine Inspection Date: Saint Clairsville Health Center 06-06-2019 51339 National Rd

Saint Clairsville OH 43950 Belmont County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M5 Mammographic Operating 1 2

Reg #: 10F17695001 Facility Name: White Fence Surgical Suites LLC

Type: Clinic Expiration Date: 05-31-2023 Facility Status: Active Registrant Phone: 6142896282

IRRP: Tyler Davis

Site Address: Last Routine Inspection Date: 08-16-2019 7277 Smiths Mill Rd Ste 300

New Albany OH 43054 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 2

Reg #: 10A09731001 Facility Name: Whitehall Surgery Center Ltd

Type: Clinic Expiration Date: 07-31-2022 Facility Status: Active Registrant Phone: 6146047444

IRRP: Christina Ernest RT(R)

Site Address: Last Routine Inspection Date: Pickerington Surgery Center 06-18-2020 1030 Refugee Rd Ste 160

Pickerington OH 43147 Franklin County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 2 4 Reg #: 10M16605001 Facility Name: Whole Health Medical Group Ohio Professional Corp

Type: Clinic Expiration Date: 05-31-2022 Facility Status: Active Registrant Phone: 9375785555

IRRP: Brittany Kirby RT(R)

Site Address: Last Routine Inspection Date: Scotts Wellness Center Medical Services 01-15-2020 14210 Scottslawn Rd

Marysville OH 43041 Union County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K17926001 Facility Name: Wilmington Physicians Group LLC

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 9373826951

IRRP: Cheryl Fisher

Site Address: Last Routine Inspection Date: Performance Orthopedic & Sports Medicine 06-16-2020 630 W Main St Ste 109

Wilmington OH 45177 Clinton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10J17926002 Facility Name: Wilmington Physicians Group LLC

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 9373827374

IRRP: Cheryl Fisher

Site Address: Last Routine Inspection Date: Rick Compton MD 11-08-2019 630 W Main St Ste 102

Wilmington OH 45177 Clinton County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10H06560002 Facility Name: Women's Care Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4197566000

IRRP: Ray Carlson

Site Address: Last Routine Inspection Date: 05-05-2020 500 S Trimble Rd

Mansfield OH 44906 Richland County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 1 2

Reg #: 10G02046001 Facility Name: Womens Imaging & Wellness Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6147919355

IRRP: Diana Von Voigt RT(R)(M)CDT

Site Address: Last Routine Inspection Date: Solis Womens Health - Dublin 06-25-2019 5156 Blazer Pkwy Ste 120

Dublin OH 43017 7318 Franklin County

Tubes Tube Code Description Status Quantity M3 Bone Densitometry Operating 1 M5 Mammographic Operating 2 3

Reg #: 10H00289008 Facility Name: Wood County Hospital Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 4193722271

IRRP: Renee Farley RT(R)

Site Address: Last Routine Inspection Date: Falcon Health Center 10-16-2019 830 E Wooster St

Bowling Green OH 43403 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G00289005 Facility Name: Wood County Hospital Inc

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 4192579961

IRRP: Amy Woodruff

Site Address: Last Routine Inspection Date: 09-08-2020 209 Briar Hill Rd Ste D

North Baltimore OH 45872 Wood County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10B16022001 Facility Name: Wooster Ambulatory Surgery Center LLC

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3308042000

IRRP: Brandy L Napier RT(R)

Site Address: Last Routine Inspection Date: 07-17-2018 3373 Commerce Pkwy Ste 1

Wooster OH 44691 Wayne County

Tubes Tube Code Description Status Quantity M10 Fluoroscopic: C-Arm (Mobile) Operating 2 M11 Fluoroscopic: C-Arm (Miniature) Operating 1 3

Reg #: 10J00676011 Facility Name: Wooster Community Hospital

Type: Clinic Expiration Date: 11-30-2021 Facility Status: Active Registrant Phone: 3302638661

IRRP: Daniel Grabowski RT(R)(MR)

Site Address: Last Routine Inspection Date: Milltown & Healthpoint 09-12-2019 128 E Milltown Rd / 3727 Friendsville Rd

Wooster OH 44691 Wayne County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10B09453002 Facility Name: Wooster Orthopaedics & Sports Medicine Inc

Type: Clinic Expiration Date: 09-30-2022 Facility Status: Active Registrant Phone: 3306740775

IRRP: Madeline Grande

Site Address: Last Routine Inspection Date: 03-05-2019 1261 Wooster Rd Ste 120

Millersburg OH 44654 Holmes County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10H09453003 Facility Name: Wooster Orthopaedics & Sports Medicine Inc

Type: Clinic Expiration Date: 09-30-2023 Facility Status: Active Registrant Phone: 3308049810

IRRP: Sarah Bauman

Site Address: Last Routine Inspection Date: Smucker Building Wing 05-15-2020 830 S Main St Ste 103

Orrville OH 44667 Wayne County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1

Reg #: 10K09453001 Facility Name: Wooster Orthopaedics & Sports Medicine Inc

Type: Clinic Expiration Date: 01-31-2022 Facility Status: Active Registrant Phone: 3308049712

IRRP: Rachael Johnson RT(R)

Site Address: Last Routine Inspection Date: 09-17-2019 3373 Commerce Pkwy Ste 2

Wooster OH 44691 Wayne County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 2 2 Reg #: 10E20486001 Facility Name: Xcell Medical Group

Type: Clinic Expiration Date: 03-31-2023 Facility Status: New Application Phone: 4403240092

IRRP: Lisa Miller RT(R)

Site Address: Last Routine Inspection Date:

710 Leona St

Elyria OH 44035 Lorain County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M10 Fluoroscopic: C-Arm (Mobile) Operating 1 2

Reg #: 10L08599001 Facility Name: Youngstown Orthopaedic Associates Ltd

Type: Clinic Expiration Date: 03-31-2022 Facility Status: Active Registrant Phone: 3307580577

IRRP: Genene Kelty

Site Address: Last Routine Inspection Date: 06-12-2020 6470 Tippecanoe Rd & 1499 Boardman Canfield Rd

Canfield OH 44406 Mahoning County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 3 3

Reg #: 10C08599003 Facility Name: Youngstown Orthopaedic Associates Ltd

Type: Clinic Expiration Date: 11-30-2022 Facility Status: Active Registrant Phone: 3307580577

IRRP: Genene Kelty

Site Address: Last Routine Inspection Date: 05-26-2020 1695 Niles-Cortland Rd NE

Warren OH 44484 Trumbull County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 1 Reg #: 10G19949001 Facility Name: Zangmeister Cancer Center - Div of Am Onc Partners

Type: Clinic Expiration Date: 07-31-2023 Facility Status: Active Registrant Phone: 6143836000

IRRP: Joshua Johnson DABR

Site Address: Last Routine Inspection Date: 06-11-2019 3100 Plaza Properties Blvd

Columbus OH 43219 Franklin County

Tubes Tube Code Description Status Quantity M1 Radiographic (Stationary) Operating 1 M3 Bone Densitometry Operating 1 M4 C.T. (Computerized Tomography) Operating 2 4