Active NPI
Toledo Clinic Incorporated
- Diagnostic Radiology Physician
- Louisville, KY
National Provider Identifier
1508760018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TOLEDO CLINIC INCORPORATED
- Practice address
- 11502 Braiden PL
Louisville, KY 40291-4538 - Phone
- (480) 790-9352
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber D Penix
- Title
- Credentialing Specialist
- Phone
- (419) 214-4214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
11502 Braiden PL
Louisville, KY 40291-4538
Mailing address
4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1508760018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234299",
"telephone_number": "419-473-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11502 BRAIDEN PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914538",
"telephone_number": "480-790-9352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLEDO CLINIC INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "PENIX",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "419-214-4214"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.