George G Ellis Jr MD IRRP: Site Address: 910 Boardman Canfield

George G Ellis Jr MD IRRP: Site Address: 910 Boardman Canfield

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: Fred Ho-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

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