NORTHERN OHIO MEDICAL SPECIALISTS LLC NPI 1568084853

NPI Information

NPI: 1568084853
Provider Name: NORTHERN OHIO MEDICAL SPECIALISTS, LLC

Doing Business As: NOMS ALLEGIANCE IMAGING PARMA

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
6800 RIDGE RD STE 130
PARMA, OH
ZIP 44129
Phone: (440) 201-4205
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NORTHERN OHIO MEDICAL SPECIALISTS, LLC is a radiology and mammography clinic center in Parma, OH. NORTHERN OHIO MEDICAL SPECIALISTS, LLC NPI is 1568084853. The provider is registered as an organization entity type.
The provider Is Doing Business As Noms Allegiance Imaging Parma.

The provider's business location address is:

6800 RIDGE RD STE 130
PARMA, OH
ZIP 44129-627
Phone: (440) 201-4205
Fax: (440) 857-3118

The provider's authorized official is Joshua Frederick .
The authorized official title is Ceo and has the following contact phone number (419) 626-6161.

The CLIA number assigned to this NPI record is 36D2240744 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2020 and was last updated on 6/19/2020.

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	261QR0206X	Clinic/Center	Radiology, Mammography			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	2253556	MEDICAID	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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