# PDI TOLEDO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225088453
- **Authorized official:** JACK CHAMPNEY CORNELL (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (440) 223-8848

## Contact information

- **Practice address:** 3830 WOODLEY RD, SUITE A, TOLEDO, OH 43606-1176
- **Practice address phone:** (419) 517-0500
- **Practice address fax:** (419) 517-0501
- **Mailing address:** 3830 WOODLEY RD, SUITE A, TOLEDO, OH 43606-1176
- **Mailing address phone:** (419) 517-0500
- **Mailing address fax:** (419) 517-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | 1248IC | OH | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 10/09/2023