MID AMERICAN IMAGING INC. NPI 1073553582

NPI Information

NPI: 1073553582
Provider Name: MID AMERICAN IMAGING, INC.
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
1400 E 2ND ST
DEFIANCE, OH
ZIP 43512
Phone: (419) 783-3239
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MID AMERICAN IMAGING, INC. is a radiology and mobile clinic center in Defiance, OH. MID AMERICAN IMAGING, INC. NPI is 1073553582. The provider is registered as an organization entity type.

The provider's business location address is:

1400 E 2ND ST
DEFIANCE, OH
ZIP 43512-440
Phone: (419) 783-3239

The provider's authorized official is Rhonda Longmore Grund .
The authorized official title is Exec Vp & Cfo and has the following contact phone number (800) 544-3215.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 10/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0208X	Clinic/Center	Radiology, Mobile	02220180040	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========012	OTHER	OHIO	HEALTH NET FEDERAL/TRICAR
2	104395	OTHER	OHIO	KAISER
3	=========076	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
4	000000268775	OTHER	OHIO	ANTHEM BC/BS OF OHIO
5	=========009	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
6	=========018	OTHER	OHIO	HEALTH NET FEDERAL/TRICAR
7	731337	OTHER	OHIO	BUCKEYE COMM HEALTH PLAN
8	2154823	MEDICAID	OHIO
9	366270200	OTHER	OHIO	ACS/US DEPT OF LABOR
10	470000366	MEDICARE ID-TYPE UNSPECIFIED	OHIO	RAIL ROAD
11	ID00803	MEDICARE ID-TYPE UNSPECIFIED	OHIO
12	2284184	MEDICAID	OHIO
13	000000166606	OTHER	OHIO	ANTHEM BC/BS OF OHIO
14	20043	OTHER	OHIO	MED FOCUS RADIOLOGY NETWO
15	26308	OTHER	OHIO	MEDFOCUS RADIOLOGY NETWOR
16	ID00809	MEDICARE ID-TYPE UNSPECIFIED	OHIO	IDTF
17	=========001	OTHER	OHIO	HEALTH NET FEDERAL/TRICAR
18	=========044	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
19	23752	OTHER	OHIO	MED FOCUS RADIOLOGY NETWO
20	ID00346	MEDICARE ID-TYPE UNSPECIFIED	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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