TRI STATE MRI & IMAGING LLC (NPI# 1194233247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194233247 |
| Entity Type | Organization |
| Organization Name | TRI STATE MRI & IMAGING LLC |
| Practice Address |
1012 College Rd Ste 105 Dover DE 19904-6506 |
| Mailing Address |
14 Azalea Rd Newark DE 19711-6812 |
| Practice Telephone | 3025134500 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | TROY MOFFITT-ALI (OWNER) |
| Authorized Official Telephone | 3025134500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1012 COLLEGE RD STE 105 |
| City | DOVER |
| State | DE |
| Zip Code | 19904-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407300072 | Richard Matthews Jr. | Counselor | 1012 College Rd Ste 105, Dover, DE 19904-6506 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257412 | Tristate Tesla Imaging LLC | Radiologic Technologist | 1306 S Dupont Hwy, Dover, DE 19901-4404 | 2018-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265670426 | Samantha Ann Janiszewski | Radiologic Technologist | 609 Channel Ct, Newark, DE 19702-4827 | 2009-01-27 |
| 1275577546 | Delaware Open Mri Radiology Associates | Radiologic Technologist | 374 E Main St, Middletown, DE 19709-1482 | 2006-06-16 |
Please comment or provide details below to improve the information on TRI STATE MRI & IMAGING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.