Organization Active NPI

BMX Imaging Center, LLC

  • Mammography Clinic/Center
  • Marion, OH
National Provider Identifier
1780927723
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 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
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Jaybalan Moodley, M.D.
Title
Medical Director
Phone
(740) 387-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

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

Mailing address

1167 Independence Ave
Suite 100
Marion, OH 43302-6360
Phone (740) 387-7200

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1069 Delaware Ave
Ste 104
Marion, OH 43302
Phone (740) 387-0894

1167 Independence Ave
Ste 100
Marion, OH 43302
Phone (740) 387-7200

Practitioners & affiliated clinicians

Practitioners 2

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": "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": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.