NPIMap

Organization Active NPI

Eastside MRI Limited Partnership

Doing business as Eastside Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Willoughby Hills, OH
National Provider Identifier
1083622898
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
0142IC Issued in OH
Legal business name
EASTSIDE MRI LIMITED PARTNERSHIP
Doing business as
Eastside Imaging Center
Practice address
2785 Som Center Rd
Willoughby Hills, OH 44094-6501
Phone
(440) 944-8887
NPI assigned
Aug 4, 2006
Last updated
Jul 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeffrey A. Kampman, CPA
Title
Chief Financial Officer
Phone
(216) 831-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 0142IC OH Primary

Addresses

Primary practice location

2785 Som Center Rd
Willoughby Hills, OH 44094-6501

Mailing address

25001 Emery Rd
Suite 100
Cleveland, OH 44128-5626
Phone (216) 831-9786

Other identifiers 1

IdentifierTypeStateIssuer
0658775MedicaidOH

Other names 1

  • EASTSIDE IMAGING CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

25001 Emery Rd
Ste 100
Warrensville Heights, OH 44128
Phone (216) 831-9786

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1083622898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25001 EMERY RD",
            "address_2": "SUITE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285626",
            "telephone_number": "216-831-9786",
            "fax_number": "216-831-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 SOM CENTER RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440946501",
            "telephone_number": "440-944-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE MRI LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "KAMPMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "216-831-9786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OH",
            "license": "0142IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0658775",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTSIDE IMAGING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.