NPIMap

Organization Active NPI

Intelligent Imaging Resources LLC

  • Diagnostic Radiology Physician
  • Wilmington, OH
National Provider Identifier
1194778217
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INTELLIGENT IMAGING RESOURCES LLC
Practice address
1661 Rombach Ave
Wilmington, OH 45177-1965
Phone
(937) 382-6736
Fax
(937) 382-6749
NPI assigned
May 18, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Timothy T Klostermeier, MDNPI 1487600144
Title
President
Phone
(937) 382-6736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1661 Rombach Ave
Wilmington, OH 45177-1965

Mailing address

PO Box 951846
Cleveland, OH 44193-0020
Phone (513) 852-2448

Other identifiers 2

IdentifierTypeStateIssuer
2524745MedicaidOH
DD3625OtherMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

4172 Indian Ripple Rd
#D
Dayton, OH 45440
Phone (937) 431-0800

4172 Indian Ripple Rd
Ste D
Dayton, OH 45440
Phone (937) 431-0800

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1194778217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951846",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930020",
            "telephone_number": "513-852-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451771965",
            "telephone_number": "937-382-6736",
            "fax_number": "937-382-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIGENT IMAGING RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KLOSTERMEIER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-382-6736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524745",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD3625",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.