Active NPI
Physicians Medical Imaging, Inc.
- Specialist
- Youngstown, OH
National Provider Identifier
1821091257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35-03-4176 K
- Legal business name
- PHYSICIANS MEDICAL IMAGING, INC.
- Practice address
- 540 Parmalee Ave
Suite 100
Youngstown, OH 44510-1605 - Phone
- (330) 746-1231
- Fax
- (330) 746-3827
- NPI assigned
- May 31, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chander M Kohli, M.D.
- Title
- President
- Phone
- (330) 746-1231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35-03-4176 K | OH | Primary |
Addresses
Primary practice location
540 Parmalee Ave
Suite 100
Youngstown, OH 44510-1605
Mailing address
540 Parmalee Ave
Suite 100
Youngstown, OH 44510-1605
Phone (330) 746-1231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0294328 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
540 Parmalee Ave
Ste 100
Youngstown, OH 44510
Phone (216) 746-1231
Practitioners & affiliated clinicians
Practitioners 12
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821091257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 PARMALEE AVE",
"address_2": "SUITE 100",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101605",
"telephone_number": "330-746-1231",
"fax_number": "330-746-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 PARMALEE AVE",
"address_2": "SUITE 100",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101605",
"telephone_number": "330-746-1231",
"fax_number": "330-746-3827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS MEDICAL IMAGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOHLI",
"authorized_official_first_name": "CHANDER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-746-1231",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35-03-4176 K",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0294328",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.