Organization
FOUNDATION RADIOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BLODGETT MD (PRESIDENT)
(412) 224-6399
Entity
Organization
Contact information
Practice address
6400 BROOKTREE CT STE 350, WEXFORD, PA 15090-9271
(412) 230-8200
(412) 230-8215
Mailing address
PO BOX 675253, DETROIT, MI 48267-5253
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019490800003
—
PA
Enumeration date
06/04/2007
Last updated
07/06/2022
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