Organization Active NPI

Medical Imaging Diagnostics

Doing business as Mammovan / Transportables

  • Diagnostic Radiology Physician
  • Boardman, OH
National Provider Identifier
1619157930
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
AB2745442 Issued in OH
Legal business name
MEDICAL IMAGING DIAGNOSTICS
Doing business as
Mammovan / Transportables
Practice address
819 McKay CT
Boardman, OH 44512-5713
Phone
(800) 516-0352
Fax
(330) 726-9007
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL IMAGING DIAGNOSTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Albert M Bleggi, M.D.NPI 1386712289
Title
Owner
Phone
(330) 726-9006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X AB2745442 OH Primary

Addresses

Primary practice location

819 McKay CT
Boardman, OH 44512-5713

Mailing address

819 McKay CT
Boardman, OH 44512-5713
Phone (330) 726-2071

Other names 1

  • MAMMOVAN / TRANSPORTABLES Doing business as

National Provider Directory

National Provider Directory
Part of
Medical Imaging Diagnostics

Practitioners & affiliated clinicians

Practitioners 1

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1619157930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MCKAY CT",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125713",
            "telephone_number": "330-726-2071",
            "fax_number": "330-726-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MCKAY CT",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125713",
            "telephone_number": "800-516-0352",
            "fax_number": "330-726-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING DIAGNOSTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL IMAGING DIAGNOSTICS LLC",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "BLEGGI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-726-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "AB2745442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAMMOVAN / TRANSPORTABLES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.