MSN IMAGING PROFESSIONALS INC NPI 1679665772

NPI Information

NPI: 1679665772
Provider Name: MSN IMAGING PROFESSIONALS, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4330 W 150TH ST
SUITE 101
CLEVELAND, OH
ZIP 44135
Phone: (216) 688-8000
Get Directions

MSN IMAGING PROFESSIONALS, INC is a diagnostic radiology radiology in Cleveland, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MSN IMAGING PROFESSIONALS, INC NPI is 1679665772. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4330 W 150TH ST
SUITE 101
CLEVELAND, OH
ZIP 44135-362
Phone: (216) 688-8000
Fax: (216) 688-0075

The provider's authorized official is Bradley A Blackburn .
The authorized official title is President and has the following contact phone number (216) 688-8000.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.

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	2085R0202X	Radiology	Diagnostic Radiology	35-053437	OHIO	Yes
2	2085R0204X	Radiology	Vascular & Interventional Radiology	34-053437	OHIO	X

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	000000169054	OTHER	OHIO	ANTHEM
2	92915	OTHER	OHIO	QUALCHOICE
3	0629172	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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