Organization Active NPI

Toledo Regional Pet Scan, LLC

  • Nuclear Radiology Physician
  • Toledo, OH
National Provider Identifier
1700885696
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
1012IC Issued in OH
Legal business name
TOLEDO REGIONAL PET SCAN, LLC
Practice address
3442 Granite Cir
Toledo, OH 43617-1160
Phone
(419) 843-6600
NPI assigned
Jul 21, 2005
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mrs. Nancy Westrich
Title
Managing Partner
Phone
(216) 292-9998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085N0904X 1012IC OH Primary

Addresses

Primary practice location

3442 Granite Cir
Toledo, OH 43617-1160

Mailing address

3733 Park East Dr
Suite 100
Beachwood, OH 44122-4338
Phone (216) 292-9998

Other identifiers 1

IdentifierTypeStateIssuer
2485798MedicaidOH

National Provider Directory

National Provider Directory

Locations

3442 Granite Cir
Toledo, OH 43617
Phone (419) 843-6600

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1700885696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224338",
            "telephone_number": "216-292-9998",
            "fax_number": "216-292-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 GRANITE CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171160",
            "telephone_number": "419-843-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO REGIONAL PET SCAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "WESTRICH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "216-292-9998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "OH",
            "license": "1012IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2485798",
            "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 Feb 6, 2008; 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.