Organization Active NPI

Medical Imaging Diagnostics

  • Diagnostic Radiology Physician
  • Youngstown, OH
National Provider Identifier
1750579934
Registry record updated Oct 12, 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
Practice address
4300 Belmont Ave
Youngstown, OH 44505-1084
Phone
(330) 759-9666
Fax
(330) 759-9668
NPI assigned
Oct 12, 2007
Organization subpart
Yes
Parent organization
MEDICAL IMAGING DIAGNOSTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X AB2745442 OH Primary

Addresses

Primary practice location

4300 Belmont Ave
Youngstown, OH 44505-1084

Mailing address

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

Other names 1

  • LIBERTY XRAY/ MRI Doing business as

National Provider Directory

National Provider Directory
Part of
Medical Imaging Diag

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1750579934",
    "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": "4300 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051084",
            "telephone_number": "330-759-9666",
            "fax_number": "330-759-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING DIAGNOSTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL IMAGING DIAGNOSTICS LLC",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "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_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "AB2745442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIBERTY XRAY/ MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.