Provider Demographics
NPI:1144039975
Name:PDI TOLEDO LLC
Entity type:Organization
Organization Name:PDI TOLEDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:AMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-800-2637
Mailing Address - Street 1:4760 RICHMOND RD STE 300
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5979
Mailing Address - Country:US
Mailing Address - Phone:216-765-8390
Mailing Address - Fax:216-765-8392
Practice Address - Street 1:4760 RICHMOND RD STE 300
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5979
Practice Address - Country:US
Practice Address - Phone:216-765-8390
Practice Address - Fax:216-765-8392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)