Active NPI
Mansfield Imaging Center LLC
- Radiology Clinic/Center
- Mansfield, OH
National Provider Identifier
1821141102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MANSFIELD IMAGING CENTER LLC
- Practice address
- 536 S Trimble Rd
Suite a
Mansfield, OH 44906-3418 - Phone
- (419) 774-9729
- Fax
- (419) 774-0006
- NPI assigned
- Jan 19, 2007
- 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
- Mr. John Cox
- Title
- Business Manager
- Phone
- (419) 522-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
536 S Trimble Rd
Suite a
Mansfield, OH 44906-3418
Mailing address
536 S Trimble Rd
Suite a
Mansfield, OH 44906-3418
Phone (419) 774-9729
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2500494 | Medicaid | OH | |
| P00070031 | Other | OH | RR MEDICARE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Mansfield, OH
- NPI 1679534077
Member Of
Locations
L3122
Columbus, OH 43260
536 S Trimble Rd
#A
Mansfield, OH 44906
Phone (419) 774-9729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1821141102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 S TRIMBLE RD",
"address_2": "SUITE A",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063418",
"telephone_number": "419-774-9729",
"fax_number": "419-774-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 S TRIMBLE RD",
"address_2": "SUITE A",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063418",
"telephone_number": "419-774-9729",
"fax_number": "419-774-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANSFIELD IMAGING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "419-522-3400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2500494",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00070031",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
- Mansfield Dermatology Inc
- Mansfield Endodontics, LTD.
- Mansfield Family Practice
- Mansfield Group Home, LTD
- Mansfield Health Care Center, LTD
- Mansfield Internal Medicine, Inc
- Mansfield Living Center, LTD
- Mansfield Memorial Homes, Inc
- Mansfield Neurology Inc
- Mansfield Obstetrics & Gynecology Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.