DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC (NPI# 1366699829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366699829 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC |
| Other Organization Name | ADVANCED IMAGING SPECIALISTS |
| Practice Address |
102 N Abington Rd Clarks Green PA 18411-2300 |
| Mailing Address |
1000 Meade St Dunmore PA 18512-3195 |
| Practice Telephone | 5705042519 |
| Practice Fax Number | 5705042599 |
| Mailing Telephone | 5705042519 |
| Mailing Fax Number | 5705042599 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Authorized Official Name | MRS. LORI M BODNAR (BILLING SUPERVISOR) |
| Authorized Official Telephone | 5705042500 |
| Authorized Official Credential | R.C.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Imaging Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992945935 | Diagnostic Imaging Centers of Nepa, LLC | Radiology | 111 Hulst Dr, Ste 708, Matamoras, PA 18336-2115 | 2009-03-04 |
| 1356598817 | Diagnostic Imaging Centers of Nepa, LLC | Radiology | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2008-08-26 |
| Street Address |
102 N ABINGTON RD |
| City | CLARKS GREEN |
| State | PA |
| Zip Code | 18411-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710913736 | Stafford Michael Smith | Internal Medicine | 102 N Abington Rd, Suite #103, Clarks Green, PA 18411-2300 | 2006-06-23 |
| 1417514456 | Leandra Nasser | Counselor | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2019-05-24 |
| 1336606631 | Alyssa Hurchick | Counselor | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2019-02-23 |
| 1396229191 | Courtney M Matoushek | Counselor | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2018-09-18 |
| 1467815233 | Mariah Ford | Massage Therapist | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2016-03-30 |
| 1083077853 | Tiffany Repsher | Massage Therapist | 102 N Abington Rd, Suite# 107, Clarks Green, PA 18411-2300 | 2016-03-30 |
| 1437400850 | Kara Lynn Mohan | Nurse Practitioner | 102 N Abington Rd, Suite 103, Clarks Green, PA 18411-2300 | 2012-09-25 |
| 1790095552 | Maggie M Miller | Chiropractor | 102 N Abington Rd, Suite 101d, Clarks Green, PA 18411-2300 | 2010-10-14 |
| 1629280540 | Behavioral Healthcare Center, P.C. | Psychologist | 102 N Abington Rd, Suite 105, Clarks Green, PA 18411-2300 | 2007-05-04 |
| 1891877643 | Kielty K Turner | Social Worker | 102 N Abington Rd, Suite 105, Clarks Green, PA 18411-2300 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
| 1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
| 1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
| 1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
| 1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
| 1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
| 1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
| 1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
| Find all providers in zip 18411 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | CLARKS GREEN |
| Zip Code | 18411 |
Please comment or provide details below to improve the information on DIAGNOSTIC IMAGING CENTERS OF NEPA, 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.