MRI DIAGNOISTIC AND IMAGING CENTER (NPI# 1417100892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417100892 |
| Entity Type | Organization |
| Organization Name | MRI DIAGNOISTIC AND IMAGING CENTER |
| Practice Address |
230 Independence Rd East Stroudsburg PA 18301-9447 |
| Practice Telephone | 5704246300 |
| Practice Fax Number | 5704200746 |
| Mailing Telephone | 5704246300 |
| Mailing Fax Number | 5704200746 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |
| Authorized Official Name | MRS. TRACI L BENJAMIN (OFFICE MANAGER) |
| Authorized Official Telephone | 5704200111 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEASTERN REHABILIATION AND PAIN MANAGEMENT CENTER |
| 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 |
230 INDEPENDENCE RD |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301-9447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952365595 | Ne Rehab & Pain Management Center | Specialist | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2006-04-12 |
| 1609438324 | New Day Pain & Spine Specialists LLC | Clinic/Center | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2019-07-02 |
| 1649636150 | Justin Shuleski | Physical Therapist | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2016-01-13 |
| 1710138359 | Raul Mateo Tanguilig | Physical Therapist | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2008-10-01 |
| 1114102910 | Prabhakar Reddy Gundappu Reddy | Anesthesiology | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| 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 |
|---|---|---|---|---|
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| 1790116358 | Louis Boyce | Radiologic Technologist | 425 E Meyer Ave, New Castle, PA 16105-2276 | 2013-12-09 |
| 1164756300 | Keystone Diagnostics and Mri, LLC | Radiologic Technologist | 7625 Ogontz Ave, Philadelphia, PA 19150-1816 | 2009-09-21 |
| 1871727693 | Walter George Mills | Radiologic Technologist | 1643 Beatty Rd, Needmore, PA 17238-8812 | 2009-05-07 |
| 1003071028 | Kathi Jo Haston | Radiologic Technologist | 7 Westwood Ct, Newtown, PA 18940-1468 | 2008-07-21 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1477509834 | Rittenhouse Imaging Center, Lp | Radiologic Technologist | 22 Morehall Rd, Route 29, Malvern, PA 19355-1723 | 2006-05-26 |
| 1528058245 | Extremity Imaging Partners Inc | Radiologic Technologist | 4500 Brooktree Rd, Ste 100, Wexford, PA 15090-9289 | 2005-10-25 |
| 1861928392 | Gregory Woelfl | Radiologic Technologist | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2017-05-03 |
| 1811175854 | Zachary B Barr | Radiologic Technologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2008-02-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18301 |
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| 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.