Organization Active NPI

Birchcrest Holdings, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Cleveland, OH
National Provider Identifier
1487991360
Registry record updated Aug 17, 2018
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
19250 Bagley Rd Ste 202
Cleveland, OH 44130
Phone
(440) 260-9970
Fax
(440) 260-9980
NPI assigned
Jan 11, 2013
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

19250 Bagley Rd Ste 202
Cleveland, OH 44130

Mailing address

4760 Richmond Rd Ste 300
Cleveland, OH 44128-5979
Phone (216) 765-8390

National Provider Directory

National Provider Directory

Locations

2121 K St NW
Ste 100
Washington, DC 20037
Phone (202) 223-5211

1201 Seven Locks Rd
Ste 100
Rockville, MD 20854
Phone (301) 424-1781

5183 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 720-3000

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": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1487991360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RICHMOND RD STE 300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285979",
            "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": "19250 BAGLEY RD STE 202",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-260-9970",
            "fax_number": "440-260-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHCREST HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "JACK",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.