Organization Active NPI

Medical Imaging Diagnostics

  • Diagnostic Radiology Physician
  • Boardman, OH
National Provider Identifier
1073793394
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
AB2745442 Issued in OH
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.