Northern Lights Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

1274IC Issued in OH

Legal business name

NORTHERN LIGHTS IMAGING, LLC

Practice address

3287 Maple Ave
Zanesville, OH 43701-1312

Phone

(740) 450-4200

Fax

(740) 450-1785

NPI assigned

Nov 21, 2006

Last updated

Sep 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth N Wallace

Title

Authorized Official

Phone

(513) 281-3400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1255406062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3287 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011312",
            "telephone_number": "740-450-4200",
            "fax_number": "740-450-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3287 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011312",
            "telephone_number": "740-450-4200",
            "fax_number": "740-450-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "513-281-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "1274IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2735302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet A Norris, LPN
• Maya Norris, QMHS
• Nathaniel Allen Norris, BA,QMHS
• Rodney Ray Norris, D.D.S.
• Teresa Norris
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• Bradley Kent Norvell, BS, ACA
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• Nursing Home Billing Specialists, Inc.

• Diagnostic Radiology Physician in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.