Organization Active NPI

Neo Pet I, LLC

  • Mobile Radiology Clinic/Center
  • Toledo, OH
National Provider Identifier
1568413136
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
0864-IC Issued in OH
Legal business name
NEO PET I, LLC
Practice address
4411 N Holland Sylvania Rd
Suite 202
Toledo, OH 43623-2509
Phone
(419) 517-1333
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Floro Miraldi, M.D.
Title
Medical Director
Phone
(440) 439-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 0864-IC OH Primary

Addresses

Primary practice location

4411 N Holland Sylvania Rd
Suite 202
Toledo, OH 43623-2509

Mailing address

34555 Chagrin Blvd
Suite 200
Chagrin Falls, OH 44022-1068
Phone (440) 893-9949

Other identifiers 1

IdentifierTypeStateIssuer
2549282MedicaidOH

National Provider Directory

National Provider Directory

Locations

1900 W River Rd N
Elyria, OH 44035
Phone (440) 233-8004

7650 First Pl
Ste B
Oakwood Village, OH 44146
Phone (440) 439-5145

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1568413136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34555 CHAGRIN BLVD",
            "address_2": "SUITE 200",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440221068",
            "telephone_number": "440-893-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232509",
            "telephone_number": "419-517-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO PET I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "MIRALDI",
        "authorized_official_first_name": "FLORO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "440-439-5145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "OH",
            "license": "0864-IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549282",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.