# X-RAY, INC.

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

## Provider details

- **NPI number:** 1417970542
- **Authorized official:** RICHARD S GORDON M.D. (PRESIDENT)
- **Authorized official phone:** (419) 303-6805

## Contact information

- **Practice address:** 1001 BELLEFONTAINE AVE, RADIOLOGY DEPARTMENT, LIMA, OH 45804-2800
- **Practice address phone:** (419) 226-5055
- **Practice address fax:** (419) 226-5064
- **Mailing address:** 967 BELLEFONTAINE AVE, SUITE 200, LIMA, OH 45804-2888
- **Mailing address phone:** (419) 225-6346
- **Mailing address fax:** (419) 225-6609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 09/11/2025