# PDI TOLEDO, LLC

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

## Provider details

- **NPI number:** 1427830058
- **Authorized official:** JACK CHAMPNEY CORNELL (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (440) 223-8848

## Contact information

- **Practice address:** 3690 ORANGE PL STE 110, BEACHWOOD, OH 44122-4438
- **Practice address phone:** (216) 282-0923
- **Practice address fax:** (216) 242-1215
- **Mailing address:** 3443 MEDINA RD STE 103, MEDINA, OH 44256-5965
- **Mailing address phone:** (330) 723-6600
- **Mailing address fax:** (330) 725-6671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2023
- **Last updated:** 12/06/2023