Healthcare Provider Details

I. General information

NPI: 1144039975
Provider Name (Legal Business Name): PDI TOLEDO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 RICHMOND RD STE 300
WARRENSVILLE HEIGHTS OH
44128-5979
US

IV. Provider business mailing address

4760 RICHMOND RD STE 300
WARRENSVILLE HEIGHTS OH
44128-5979
US

V. Phone/Fax

Practice location:
  • Phone: 216-765-8390
  • Fax: 216-765-8392
Mailing address:
  • Phone: 216-765-8390
  • Fax: 216-765-8392

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: BRADFORD AMES
Title or Position: CFO
Credential:
Phone: 305-800-2637