Organization Active NPI

Ramic Boardman, LLC

  • Clinic/Center
  • Boardman, OH
National Provider Identifier
1639364334
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0838IC Issued in OH
Legal business name
RAMIC BOARDMAN, LLC
Practice address
1449 Boardman Canfield Rd
Suite 140
Boardman, OH 44512-8061
Phone
(330) 965-7370
Fax
(330) 965-7377
NPI assigned
Sep 6, 2007
Organization subpart
Yes
Parent organization
AIMI IMAGING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Mr. Shawn J Smith
Title
Member
Phone
(330) 495-4821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0838IC OH Primary

Addresses

Primary practice location

1449 Boardman Canfield Rd
Suite 140
Boardman, OH 44512-8061

Mailing address

1449 Boardman Canfield Rd
Suite 140
Boardman, OH 44512-8061
Phone (330) 965-7370

Other identifiers 1

IdentifierTypeStateIssuer
2938030MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1639364334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 140",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445128061",
            "telephone_number": "330-965-7370",
            "fax_number": "330-965-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 140",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445128061",
            "telephone_number": "330-965-7370",
            "fax_number": "330-965-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIC BOARDMAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIMI IMAGING SERVICES, LLC",
        "enumeration_date": "2007-09-06",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-495-4821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "0838IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2938030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 11, 2011; 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.