NPIMap

Organization Active NPI

Crystal Clear Imaging, LLC

  • Diagnostic Radiology Physician
  • Springfield, OH
National Provider Identifier
1346220662
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CRYSTAL CLEAR IMAGING, LLC
Practice address
2100 Emmanuel Way
Springfield, OH 45502-7217
Phone
(937) 398-0500
Fax
(937) 398-0370
NPI assigned
Jan 20, 2006
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Robin E Osborn, D.O.NPI 1639175888
Title
President
Phone
(937) 398-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2100 Emmanuel Way
Springfield, OH 45502-7217

Mailing address

PO Box 951015
Cleveland, OH 44193-0005
Phone (866) 917-3597

Other identifiers 2

IdentifierTypeStateIssuer
000000232727OtherOHANTHEM
2364249MedicaidOH

National Provider Directory

National Provider Directory

Locations

L3381
Columbus, OH 43260

2100 Emmanuel Way
Springfield, OH 45502
Phone (937) 398-0500

Practitioners & affiliated clinicians

Practitioners 10

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": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1346220662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951015",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930005",
            "telephone_number": "866-917-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EMMANUEL WAY",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455027217",
            "telephone_number": "937-398-0500",
            "fax_number": "937-398-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-398-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000232727",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.