Advantage Radiology Service LLC

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

DC1897 Issued in OH

Legal business name

ADVANTAGE RADIOLOGY SERVICE LLC

Practice address

723 Phillips Ave
Suite 275
Toledo, OH 43612-1300

Phone

(419) 269-2424

NPI assigned

Jun 2, 2015

Last updated

Jul 7, 2015By 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

Dr. Craig P Church, DCNPI 1316075401

Title

Owner

Phone

(419) 269-2424

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.

• Craig P Church, D.C

  • Radiology Chiropractor
  • Toledo, OH
  • NPI 1316075401
  NPD (past) Authorized official

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1386024651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 PHILLIPS AVE",
            "address_2": "SUITE 275",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121300",
            "telephone_number": "419-269-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 PHILLIPS AVE",
            "address_2": "SUITE 275",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121300",
            "telephone_number": "419-269-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE RADIOLOGY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-269-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "OH",
            "license": "DC1897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Chiropractor in Toledo, OH
• Providers in Toledo, OH by specialty
• Radiology Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.