Organization
BMX IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYBALAN MOODLEY M.D. (MEDICAL DIRECTOR)
(740) 387-7200
Entity
Organization
Contact information
Practice address
1069 DELAWARE AVE, SUITE 104B, MARION, OH 43302-1400
(740) 387-7200
(740) 387-5728
Mailing address
1167 INDEPENDENCE AVE, SUITE 100, MARION, OH 43302-6360
(740) 387-7200
(740) 387-5728
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
08/27/2013
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