Imaging Advantage LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

IMAGING ADVANTAGE LLC

Practice address

425 W Fifth St
East Liverpool, OH 43920-2405

Phone

(866) 708-6580

Fax

(314) 845-5667

NPI assigned

Apr 2, 2009

Last updated

Apr 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bassam Chaballout

Title

Coo

Phone

(310) 721-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Ramesh Avva, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1174521587
  NPD (past)
• Jake Cho, MD

  • Internal Medicine Physician
  • Boise City, OK
  • NPI 1124551999
  NPD (past)
• Amberley Neel, LD

  • Registered Dietitian
  • Boise City, OK
  • NPI 1518782598
  NPD (past)

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1770725962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 LEMAY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292805",
            "telephone_number": "800-354-1088",
            "fax_number": "314-845-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W FIFTH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405",
            "telephone_number": "866-708-6580",
            "fax_number": "314-845-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "CHABALLOUT",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-721-0200"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mumtaz Husain, MD
• Andy Lewis Husk
• Mufaddal Ammar Hussain, M.D.
• Sandra Visnic Hutchman, OT
• Christa M Hutton
• Insight Clinical Counseling and Wellness
• Insight Clinical Counseling and Wellness
• Irving Radiology, Inc
• Brianne Michelle Jackson, FNP-BC
• Brooke M Jackson

• Diagnostic Radiology Physician in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.