PDI SOUTH – NPI #1164726360
Radiology

A Radiology doctor of Osteopathy that specializes in Body Imaging.

Health Care Provider Taxonomy Code for Radiology

PDI SOUTH is a radiologist located in CLEVELAND, OH. NPPES has assigned the NPI number 1164726360 to PDI SOUTH on January 03, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PDI SOUTH” is a dba name, the actual legal business name for this organization is BIRCHCREST HOLDINGS, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085B0100X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Body Imaging

The NPI profile was previously updated about 8 years ago on Aug 23, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PDI SOUTH below.

NPI Profile for
BIRCHCREST HOLDINGS, LLC

NPI Number
1164726360
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BIRCHCREST HOLDINGS, LLC
Doing Business As (dba): PDI SOUTH
Primary location
4760 RICHMOND RD STE 300
CLEVELAND, OH 44128
Phone: (216) 765-8390 Fax: (216) 765-8392
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACK CORNELL
PRESIDENT
Phone: (216) 765-8390
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085B0100X
- Radiology / Body Imaging (Primary)
261QR0200X
- Clinic/Center / Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.