Organization Active NPI

Mansfield Regional Imaging Consultants Corporation

  • Radiology Clinic/Center
  • Mansfield, OH
National Provider Identifier
1457566853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MANSFIELD REGIONAL IMAGING CONSULTANTS CORPORATION
Practice address
1456 Park Ave W Ste M
Mansfield, OH 44906-2700
Phone
(419) 522-3400
Fax
(419) 522-3426
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christian Baddour, D.O.
Title
Physician
Phone
(419) 522-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1456 Park Ave W Ste M
Mansfield, OH 44906-2700

Mailing address

1456 Park Ave W Ste M
Mansfield, OH 44906-2700
Phone (419) 522-3400

Other names 1

  • Mansfield Diagnostic X-Ray & Imagining Center Doing business as

National Provider Directory

National Provider Directory

Locations

1456 Park Ave W
Ste M
Ontario, OH 44906
Phone (419) 522-3400

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457566853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 PARK AVE W STE M",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062700",
            "telephone_number": "419-522-3400",
            "fax_number": "419-522-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PARK AVE W STE M",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062700",
            "telephone_number": "419-522-3400",
            "fax_number": "419-522-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD REGIONAL IMAGING CONSULTANTS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BADDOUR",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-522-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Diagnostic X-Ray & Imagining Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.