Bmx Imaging Center, LLC

NPI #1780927723 in Marion, Ohio

Provider Information

NPI Number: 1780927723
Entity Type: Organization
Organization Name: Bmx Imaging Center, LLC
Primary Specialty: Clinic/Center - Radiology, Mammography
Enumeration Date: Mar 28, 2013
Last Updated: Aug 27, 2013

Practice Location

Address: 1069 DELAWARE AVE
Address 2: SUITE 104B
City: Marion
State: Ohio
ZIP Code: 43302-1400
Phone: (740) 387-7200

Authorized Official

Name: JAYBALAN MOODLEY, M.D.
Title: MEDICAL DIRECTOR
Phone: (740) 387-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X
Clinic/Center - Radiology, Mammography — Radiology, Mammography	261QR0206X	Primary

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