Organization Active NPI

Vanguard Imaging Partners, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Beavercreek, OH
National Provider Identifier
1225061526
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
1252IC Issued in OH
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

Updated by the provider on Apr 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00437849OtherOHRAILROAD MEDICARE
2696257MedicaidOH

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.