SUBURBAN DIAGNOSTIC CLINIC LLC (NPI# 1104166966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104166966 |
| Entity Type | Organization |
| Organization Name | SUBURBAN DIAGNOSTIC CLINIC LLC |
| Other Organization Name | SYLVANIA ULTRASOUND INSTITUTE |
| Practice Address |
3830 Woodley Rd Suite A Toledo OH 43606-1177 |
| Practice Telephone | 4198417766 |
| Mailing Telephone | 4198417766 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | ALLIE GALOVICH (BILLER) |
| Authorized Official Telephone | 2485939780 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sylvania Ultrasound Institute | Doing Business As Name - Organization |
| Street Address |
3830 WOODLEY RD SUITE A |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332359 | Mazin S Salem | Internal Medicine | 3830 Woodley Rd, Ste C, Toledo, OH 43606-1177 | 2005-08-10 |
| 1801009543 | Tara Lynn Shamy | Pediatrics | 3830 Woodley Rd, Suite C, Toledo, OH 43606-1176 | 2007-05-08 |
| 1598798589 | Dhananjay Bhavsar | Internal Medicine | 3830 Woodley Rd, Toledo, OH 43606-1176 | 2006-07-10 |
| 1780636449 | Stork Studios, Inc | Radiology | 3830 Woodley Rd, Suite A, Toledo, OH 43606-1176 | 2006-05-17 |
| 1225088453 | Pdi Toledo, LLC | Radiologic Technologist | 3830 Woodley Rd, Suite A, Toledo, OH 43606-1176 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336224930 | Northwest Ohio Imaging | Clinic/Center | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121521 | Executive Imaging, LLC | Clinic/Center | 1069 Delaware Ave Ste 104, Marion, OH 43302-6459 | 2020-07-21 |
| 1912532904 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 26151 Euclid Ave Ste 130, Euclid, OH 44132-3300 | 2020-03-10 |
| 1326510868 | Genetesis, Inc. | Clinic/Center | 5412 Courseview Dr Ste 150, Mason, OH 45040-2483 | 2018-12-21 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1710417605 | B&d Radiology Partners Pllc | Clinic/Center | 452 Ashsteade Ln, Cincinnati, OH 45255-3710 | 2017-06-14 |
| 1235671710 | Citran Xray LLC | Clinic/Center | 7774 Dayton Springfield Road, Fairborn, OH 45324-1996 | 2016-11-15 |
| 1598163164 | Fostoria Hospital Association | Clinic/Center | 455 W 4th St Ste 30, Fostoria, OH 44830-1864 | 2014-12-15 |
| 1487991360 | Birchcrest Holdings, LLC | Clinic/Center | 19250 Bagley Rd Ste 202, Cleveland, OH 44130 | 2013-01-11 |
| 1487922548 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 2800 Hayes Ave # Bdlgc130, Sandusky, OH 44870 | 2011-12-05 |
| 1164726360 | Birchcrest Holdings, LLC | Clinic/Center | 4760 Richmond Rd Ste 300, Cleveland, OH 44128 | 2011-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.