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PDI TOLEDO LLC NPI 1225088453


NPI Information

NPI: 1225088453
Provider Name: PDI TOLEDO, LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
3830 WOODLEY RD
SUITE A
TOLEDO, OH
ZIP 43606
Phone: (419) 517-0500
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PDI TOLEDO, LLC is a magnetic resonance imaging (mri) clinic center in Toledo, OH. PDI TOLEDO, LLC NPI is 1225088453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3830 WOODLEY RD
SUITE A
TOLEDO, OH
ZIP 43606-176
Phone: (419) 517-0500
Fax: (419) 517-0501

The provider's authorized official is Jack Champney Cornell .
The authorized official title is Authorized Official and has the following contact phone number (440) 223-8848.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 10/9/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471M1202XRadiologic TechnologistMagnetic Resonance Imaging1248ICOHIONo
22085R0202XRadiologyDiagnostic RadiologyNo
3261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12678651MEDICAIDOHIO

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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