Organization Active NPI

Steel Valley Diversified, Inc

  • Physiological Laboratory
  • Canton, OH
National Provider Identifier
1982916573
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
STEEL VALLEY DIVERSIFIED, INC
Doing business as
STEEL VALLEY PORTABLE X-RAY SERVICE
Practice address
5136 Tuscarawas St W
Canton, OH 44708-5016
Phone
(888) 745-5771
Fax
(330) 479-1933
NPI assigned
Jul 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Authorized official

Name
Terry Rothermel
Title
President
Phone
(888) 745-5771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

5136 Tuscarawas St W
Canton, OH 44708-5016

Mailing address

5136 Tuscarawas St W
Canton, OH 44708-5016
Phone (888) 745-5771

Other names 1

  • STEEL VALLEY PORTABLE X-RAY SERVICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230530003144 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1153315577 Practice locations: Canton, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Steel Valley Diversified Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5136 Tuscarawas St W
Canton, OH 44708
Phone (330) 575-7360

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760832000000",
    "number": "1982916573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085016",
            "telephone_number": "888-745-5771",
            "fax_number": "330-479-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085016",
            "telephone_number": "888-745-5771",
            "fax_number": "330-479-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEEL VALLEY DIVERSIFIED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "ROTHERMEL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-745-5771"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEEL VALLEY PORTABLE X-RAY SERVICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STEEL VALLEY PORTABLE X-RAY SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.