Organization Active NPI

Image Interpretation Services LTD

  • Diagnostic Radiology Physician
  • Mingo JCT, OH
National Provider Identifier
1962438549
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OH350780001B Issued in OH
Legal business name
IMAGE INTERPRETATION SERVICES LTD
Practice address
112 Valley Rd
Mingo JCT, OH 43938-1463
Phone
(740) 266-4908
Fax
(740) 264-4376
NPI assigned
Jun 24, 2006
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. John Frank Balzano, MD
Title
Owner
Phone
(740) 266-4908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OH350780001B OH Primary

Addresses

Primary practice location

112 Valley Rd
Mingo JCT, OH 43938-1463

Mailing address

PO Box 76648
Cleveland, OH 44101-6500
Phone (740) 266-4908

Other identifiers 1

IdentifierTypeStateIssuer
2268460MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1962438549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76648",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441016500",
            "telephone_number": "740-266-4908",
            "fax_number": "740-264-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 VALLEY RD",
            "city": "MINGO JCT",
            "state": "OH",
            "postal_code": "439381463",
            "telephone_number": "740-266-4908",
            "fax_number": "740-264-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE INTERPRETATION SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "BALZANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-266-4908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "OH350780001B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2268460",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mingo JCT, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.