NPIMap

Organization Active NPI

Woodland Diagnostic Imaging LLC

Doing business as Alliance Healthcare Radiology at Belden Village

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Canton, OH
National Provider Identifier
1194733246
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
1037IC Issued in OH
Legal business name
WOODLAND DIAGNOSTIC IMAGING LLC
Doing business as
Alliance Healthcare Radiology at Belden Village
Practice address
5005 Whipple Ave NW
Canton, OH 44718
Phone
(330) 493-6747
Fax
(330) 493-6947
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Laura Kassa
Title
Sr Vice President
Phone
(904) 300-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 1037IC OH Primary

Addresses

Primary practice location

5005 Whipple Ave NW
Canton, OH 44718

Mailing address

18201 Von Karman Ave Ste 600
Irvine, CA 92612-1176
Phone (800) 544-3215

Other identifiers 7

IdentifierTypeStateIssuer
100897OtherOHKAISER
20028OtherOHMEDFOCUS RADIOLOGY
000000167494OtherOHANTHEM BCBS
359986300OtherOHACS/US DEPT OF LABOR
47659-0001MedicaidOH
2460699MedicaidOH
731339MedicaidOH

Other names 1

  • Alliance Healthcare Radiology at Belden Village Doing business as

National Provider Directory

National Provider Directory

Locations

8300 W Sunrise Blvd
Ste 600
Plantation, FL 33322

12061 Collection Ctr
Chicago, IL 60693

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

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": "1690156800000",
    "number": "1194733246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 VON KARMAN AVE STE 600",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121176",
            "telephone_number": "800-544-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-493-6747",
            "fax_number": "330-493-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "KASSA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "904-300-2777"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OH",
            "license": "1037IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100897",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDFOCUS RADIOLOGY",
            "identifier": "20028",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000167494",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/US DEPT OF LABOR",
            "identifier": "359986300",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47659-0001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2460699",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731339",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Healthcare Radiology at Belden Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Healthcare Radiology at Belden Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.