# PDI TOLEDO, LLC

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

## Provider details

- **NPI number:** 1497474084
- **Authorized official:** JACK CHAMPNEY CORNELL (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (440) 223-8848

## Contact information

- **Practice address:** 30400 DETROIT RD \# 30, WESTLAKE, OH 44145-1872
- **Practice address phone:** (440) 808-6736
- **Practice address fax:** (440) 808-0289
- **Mailing address:** 30400 DETROIT RD \# 30, WESTLAKE, OH 44145-1872
- **Mailing address phone:** (440) 808-6736
- **Mailing address fax:** (440) 808-0289

## 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:** 08/25/2022
- **Last updated:** 10/09/2023