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NPI Code Detail

MEDICARE: MEDICAL IMAGING DIAGNOSTICS

MEDICARE: MEDICAL IMAGING DIAGNOSTICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianAB2745442OH

General Provider Information

NPI Number : 1528248846
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL IMAGING DIAGNOSTICS
Provider Business Mailing Address
First Line : 819 MCKAY CT.
Second Line :
City : BOARDMAN
State : OH
Zip : 44512
Country : US
Telephone Number : 330-726-2071
Fax Number : 330-726-9007
Provider Business Practice Location Address
First Line : 819 MCKAY CT
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-5713
Country : US
Telephone Number : 330-726-2071
Fax Number : 330-726-9007
Authorized Official
Title or Position : OWNER
Name : DR. ALBERT M BLEGGI
Credential : M.D.
Telephone Number : 330-726-9006
Provider Enumeration Date : 11/05/2007
Last Update Date : 11/05/2007

Similar Medicare Providers

1629065347 — MEDICAL IMAGING NETWORK INC
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819 MCKAY CT
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44512-5713
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1386712289 — DR. ALBERT M BLEGGI M.D.
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BOARDMAN, OH
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1619157930 — MEDICAL IMAGING DIAGNOSTICS
Practice Location Address:
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BOARDMAN, OH
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1164602488 — MEDICAL IMAGING DIAGNOSTICS
Practice Location Address:
819 MCKAY CT
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44512-5713
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Practice Fax: 330-729-3778

Directions to “MEDICAL IMAGING DIAGNOSTICS ” Practice Location

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