Active NPI
Big Run Imaging Center LLC
- Radiology Clinic/Center
- Columbus, OH
National Provider Identifier
1376574699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 0453IC
- Legal business name
- BIG RUN IMAGING CENTER LLC
- Practice address
- 4300 Clime Rd
Columbus, OH 43228-6491 - Phone
- (614) 279-4925
- Fax
- (614) 279-4958
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela K Evans
- Title
- VP Amb SVCS,Imaging Board President
- Phone
- (614) 546-4303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 0453IC | OH | Primary |
Addresses
Primary practice location
4300 Clime Rd
Columbus, OH 43228-6491
Mailing address
4300 Clime Rd
Columbus, OH 43228-6491
Phone (614) 279-4925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098500 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Big Run Imaging Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1700918612
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4300 Clime Rd
Ste 180
Columbus, OH 43228
Phone (614) 279-4925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1376574699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 CLIME RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432286491",
"telephone_number": "614-279-4925",
"fax_number": "614-279-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 CLIME RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432286491",
"telephone_number": "614-279-4925",
"fax_number": "614-279-4958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG RUN IMAGING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "VP AMB SVCS,IMAGING BOARD PRESIDENT",
"authorized_official_telephone_number": "614-546-4303",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "OH",
"license": "0453IC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098500",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.