Healthcare Provider Details

I. General information

NPI: 1376408237
Provider Name (Legal Business Name): PRECISION DIAGNOSTIC IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 POLARIS PKWY STE 105
COLUMBUS OH
43240-4086
US

IV. Provider business mailing address

15371 HEMLOCK POINT RD
CHAGRIN FALLS OH
44022-3801
US

V. Phone/Fax

Practice location:
  • Phone: 614-505-0388
  • Fax: 855-734-2645
Mailing address:
  • Phone: 855-734-2645
  • Fax: 855-734-2645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH CORNELL
Title or Position: VICE PRESIDENT
Credential:
Phone: 855-734-2645