Active NPI
Neo Pet I, LLC
- Mobile Radiology Clinic/Center
- Toledo, OH
National Provider Identifier
1568413136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 0864-IC
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2549282 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.