BMX Imaging Center, LLC

Key facts

NPI

1780927723

Entity type

Organization (NPI type 2)

Primary specialty

Mammography Clinic/Center 261QR0206X

Legal business name

BMX IMAGING CENTER, LLC

Practice address

1069 Delaware Ave
Suite 104B
Marion, OH 43302-1400

Phone

(740) 387-7200

Fax

(740) 387-5728

NPI assigned

Mar 28, 2013

Organization subpart

No

Authorized official

Name

Jaybalan Moodley, M.D.

Title

Medical Director

Phone

(740) 387-7200

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Marion Independent Physicians Association, LLC Physical Therapist · Marion, OH · NPI 1366481251
  NPD member Member Of

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scot M Gray, D.C. Chiropractor · Marion, OH · NPI 1083646152
  NPD (past)
• Parminder Bobby Singh, M.D. Internal Medicine Physician · Marion, OH · NPI 1598756546
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2013.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1780927723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 INDEPENDENCE AVE",
            "address_2": "SUITE 100",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026360",
            "telephone_number": "740-387-7200",
            "fax_number": "740-387-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 DELAWARE AVE",
            "address_2": "SUITE 104B",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021400",
            "telephone_number": "740-387-7200",
            "fax_number": "740-387-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMX IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "MOODLEY",
        "authorized_official_first_name": "JAYBALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "740-387-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Marion, OH · Mammography Clinic/Center in Ohio