Precision Open MRI LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

10741C Issued in OH

Legal business name

PRECISION OPEN MRI LLC

Doing business as

precision diagnostic imaging

Practice address

4760 Richmond Rd
Warrensville Heights, OH 44128-5978

Phone

(216) 765-8390

Fax

(216) 765-8392

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Ron Clark

Title

President & Coo

Phone

(216) 765-8390

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• precision diagnostic imaging Doing business as

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1457302309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RICHMOND RD",
            "city": "WARRENSVILLE HEIGHTS",
            "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": "4760 RICHMOND RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285978",
            "telephone_number": "216-765-8390",
            "fax_number": "216-765-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "216-765-8390"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "OH",
            "license": "10741C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "precision diagnostic imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Markia Porter
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• Lauren Powell
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• Michael Price
• Jaclyn Taylor Prise
• Katlyn Pritchard
• Progressive Interchange Healthcare LLC
• Stacy Pruitt, SLP

• Body Imaging Physician in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Body Imaging Physician in Ohio

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

Verify at the official NPI Registry.