Bethel Road Open MRI Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D1097120 Issued in OH

Legal business name

BETHEL ROAD OPEN MRI INC

Practice address

975 Bethel Rd
Columbus, OH 43214-1905

Phone

(614) 442-9674

Fax

(614) 442-0329

NPI assigned

Nov 3, 2009

Last updated

Sep 19, 2013By 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

Mr. Robert E Adams

Title

Ceo

Phone

(954) 510-3703

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ivan Zucker, MD

  • Nuclear Medicine Physician
  • Hershey, PA
  • NPI 1730179763
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1316274947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD",
            "address_2": "SUITE 826",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084054",
            "telephone_number": "954-510-3700",
            "fax_number": "954-510-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141905",
            "telephone_number": "614-442-9674",
            "fax_number": "614-442-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL ROAD OPEN MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-510-3703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D1097120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel Home Care LLC
• Bethel Home Care Services LLC
• Bethel Home Health Services LLC
• Bethel Olentangy Psychological Services
• Bethel Pediatric Dentistry
• Bethel Vision Center
• Erin Elizabeth Bethel
• Kniaka R Bethel, N.P.
• Benjamin Betscher
• Henrietta Tsanyi Bettah

• Clinical Medical Laboratory in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.