Active NPI
Vanguard Imaging Partners, LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Beavercreek, OH
National Provider Identifier
1225061526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- 1252IC
- Legal business name
- VANGUARD IMAGING PARTNERS, LLC
- Practice address
- 2619 Commons Blvd
Beavercreek, OH 45431-3817 - Phone
- (937) 306-1463
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph L Brywczynski
- Title
- President and Ceo
- Phone
- (937) 208-9676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | 1252IC | OH | Primary |
Addresses
Primary practice location
2619 Commons Blvd
Beavercreek, OH 45431-3817
Mailing address
PO Box 635500
Cincinnati, OH 45263-0001
Phone (937) 306-1463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00437849 | Other | OH | RAILROAD MEDICARE |
| 2696257 | Medicaid | OH |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1225061526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635500",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001",
"telephone_number": "937-306-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2619 COMMONS BLVD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313817",
"telephone_number": "937-306-1463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD IMAGING PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "BRYWCZYNSKI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "937-208-9676",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "OH",
"license": "1252IC",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00437849",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2696257",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.