MID AMERICAN IMAGING INC. NPI 1174563670

NPI Information

NPI: 1174563670
Provider Name: MID AMERICAN IMAGING, INC.
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
659 BOULEVARD ST
DOVER, OH
ZIP 44622
Phone: (330) 343-3311
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MID AMERICAN IMAGING, INC. is a radiology and mobile clinic center in Dover, OH. MID AMERICAN IMAGING, INC. NPI is 1174563670. The provider is registered as an organization entity type.

The provider's business location address is:

659 BOULEVARD ST
DOVER, OH
ZIP 44622-026
Phone: (330) 343-3311

The provider's authorized official is Nicholas A. Poan .
The authorized official title is Svp Corporate Finance and has the following contact phone number (949) 242-5321.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 12/8/2008.

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	=========042	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
2	=========021	OTHER	OHIO	HEALTH NET FEDERAL/TRICAR
3	731337	MEDICAID	OHIO
4	23753	OTHER	OHIO	MEDFOCUS RADIOLOGY NETWOR
5	47710-0001	MEDICAID	OHIO
6	=========-03	OTHER	OHIO	OHIO BWC
7	2368727	MEDICAID	OHIO
8	000000166606	OTHER	OHIO	ANTHEM BCBS OF OHIO
9	470000366	MEDICARE ID-TYPE UNSPECIFIED	OHIO	RAILROAD MEDICARE
10	ID00805	MEDICARE ID-TYPE UNSPECIFIED	OHIO	IDTF
11	366270200	OTHER	OHIO	ACS/US DEPT OF LABOR

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

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