Ohio Diagnostic Imaging LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

OHIO DIAGNOSTIC IMAGING LLC

Practice address

209 W Woodland Ave
Youngstown, OH 44502-1866

Phone

(330) 207-1102

NPI assigned

Nov 14, 2019

Last updated

Nov 14, 2019By 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

Phillip E Smith

Title

Ceo

Phone

(330) 207-1102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1407491343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866",
            "telephone_number": "330-207-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866",
            "telephone_number": "330-207-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-207-1102"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Ogborn, MD
• Aleaha Ogletree, MEDICAL ASSISTANT
• Kong T Oh, MD
• Ohio Certified Home Health Care
• Ohio CVS Stores LLC (CVS Pharmacy 03996)
• Ohio Family Health Care Associates in
• Ohio Foot Institute, Inc.
• Ohio Living Communities (Ohio Living Park Vista)
• Ohio Living Communities (Ohio Living Park Vista)
• Ohio North East Health Systems Inc (Youngstown Community Health Center)

• Mobile Radiology Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Mobile Radiology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.