Organization Active NPI

Prohealth Mobile X-Ray LLC

  • Diagnostic Ultrasound Physician
  • Perrysburg, OH
National Provider Identifier
1316388267
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
PROHEALTH MOBILE X-RAY LLC
Practice address
12611 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone
(419) 873-6326
Fax
(419) 873-6327
NPI assigned
Jul 8, 2013
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Ritchie Adams
Title
Owner/Ceo
Phone
(419) 491-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X OH Primary

Addresses

Primary practice location

12611 Eckel Junction Rd
Perrysburg, OH 43551-1304

Mailing address

12611 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone (419) 873-6326

National Provider Directory

National Provider Directory

Locations

1705 Woodland Dr
Ste 204
Saline, MI 48176
Phone (419) 343-9525

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1316388267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-873-6326",
            "fax_number": "419-873-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-873-6326",
            "fax_number": "419-873-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH MOBILE X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "RITCHIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "419-491-7150"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.