Provider Demographics
NPI:1407833759
Name:TOLEDO IMAGING, INC.
Entity Type:Organization
Organization Name:TOLEDO IMAGING, INC.
Other - Org Name:TOLEDO MEDICAL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-675-2600
Mailing Address - Street 1:PO BOX 76626
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44101-6500
Mailing Address - Country:US
Mailing Address - Phone:813-675-2498
Mailing Address - Fax:813-971-0818
Practice Address - Street 1:5660 MONROE ST
Practice Address - Street 2:SUITE 7
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2733
Practice Address - Country:US
Practice Address - Phone:419-882-3333
Practice Address - Fax:419-885-1568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0844IC261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2297321Medicaid
OH2297321Medicaid