Organization Active NPI

R S & J Imaging, Inc

Doing business as Precision Diagnostic Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Willoughby, OH
National Provider Identifier
1477744225
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
1058IC Issued in OH
Legal business name
R S & J IMAGING, INC
Doing business as
Precision Diagnostic Imaging
Practice address
34600 Chardon Rd
Willoughby, OH 44094-8480
Phone
(440) 585-6163
Fax
(440) 944-4346
NPI assigned
Aug 7, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Ron L Clark
Title
President & Coo
Phone
(216) 464-8484

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 1058IC OH Primary
Radiology Clinic/Center 261QR0200X 1058IC OH

Addresses

Primary practice location

34600 Chardon Rd
Willoughby, OH 44094-8480

Mailing address

4400 Rockside Rd
Suite 1100
Independence, OH 44131-2109
Phone (216) 464-8484

Other identifiers 1

IdentifierTypeStateIssuer
0994670MedicaidOH

Other names 1

  • Precision Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

4400 Rockside Rd
Ste 1100
Independence, OH 44131
Phone (216) 642-9444

27110 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6163

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1477744225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 ROCKSIDE RD",
            "address_2": "SUITE 1100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312109",
            "telephone_number": "216-464-8484",
            "fax_number": "216-464-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948480",
            "telephone_number": "440-585-6163",
            "fax_number": "440-944-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R S & J IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "216-464-8484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OH",
            "license": "1058IC",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OH",
            "license": "1058IC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0994670",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.