Organization Active NPI

Birchcrest Holdings, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Medina, OH
National Provider Identifier
1437541224
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
BIRCHCREST HOLDINGS, LLC
Practice address
3443 Medina Rd
Suite 103
Medina, OH 44256-5360
Phone
(330) 723-6600
Fax
(330) 725-6671
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Jack C Cornell
Title
President
Phone
(216) 765-8390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X OH Primary

Addresses

Primary practice location

3443 Medina Rd
Suite 103
Medina, OH 44256-5360

Mailing address

4760 Richmond Rd
Suite 300
Cleveland, OH 44128-5978
Phone (216) 765-8390

Other names 1

  • PDI MEDINA Doing business as

National Provider Directory

National Provider Directory

Locations

3443 Medina Rd
Medina, OH 44256
Phone (330) 722-7060

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1437541224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RICHMOND RD",
            "address_2": "SUITE 300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285978",
            "telephone_number": "216-765-8390",
            "fax_number": "216-765-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD",
            "address_2": "SUITE 103",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565360",
            "telephone_number": "330-723-6600",
            "fax_number": "330-725-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHCREST HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-765-8390"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDI MEDINA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.