Healthcare Provider Details

I. General information

NPI: 1679660500
Provider Name (Legal Business Name): REGIONAL MRI OF TOLEDO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13003 ECKEL JUNCTION RD
PERRYSBURG OH
43551-1397
US

IV. Provider business mailing address

13003 ECKEL JUNCTION RD
PERRYSBURG OH
43551-1397
US

V. Phone/Fax

Practice location:
  • Phone: 419-720-5000
  • Fax: 419-720-5012
Mailing address:
  • Phone: 419-720-5000
  • Fax: 419-720-5012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LESLIE G. WEBER
Title or Position: COO
Credential:
Phone: 858-455-7127