Active NPI
Medical Imaging Diagnostics
- Diagnostic Radiology Physician
- Boardman, OH
National Provider Identifier
1073793394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- AB2745442
- Legal business name
- MEDICAL IMAGING DIAGNOSTICS
- Doing business as
- BREAST CARE CENTER
- Practice address
- 819 McKay CT
Boardman, OH 44512-5713 - Phone
- (330) 726-0322
- Fax
- (330) 726-3260
- NPI assigned
- Nov 5, 2007
- Organization subpart
- Yes
- Parent organization
- MEDICAL IMAGING DIAGNOSTICS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albert M Bleggi, M.D.
- Title
- Owner
- Phone
- (330) 726-9006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | AB2745442 | OH | Primary |
Addresses
Primary practice location
819 McKay CT
Boardman, OH 44512-5713
Mailing address
819 McKay CT
Boardman, OH 44512-5713
Phone (330) 726-2071
Other names 1
- BREAST CARE CENTER
National Provider Directory
National Provider Directory- Part of
- Medical Imaging Diag
Locations
819 McKay Ct
Ofc
Boardman, OH 44512
Phone (330) 726-9006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1073793394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 MCKAY CT",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125713",
"telephone_number": "330-726-2071",
"fax_number": "330-726-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 MCKAY CT",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125713",
"telephone_number": "330-726-0322",
"fax_number": "330-726-3260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL IMAGING DIAGNOSTICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL IMAGING DIAGNOSTICS LLC",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "BLEGGI",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-726-9006",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "AB2745442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BREAST CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.