PENN DIAGNOSTIC CO. (NPI# 1033719919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033719919 |
| Entity Type | Organization |
| Organization Name | PENN DIAGNOSTIC CO. |
| Practice Address |
2014 North 3rd St Philadelphia PA 19122 |
| Mailing Address |
9925 Bustleton Ave Unit 14528 Philadelphia PA 19115-5916 |
| Practice Telephone | 2672586889 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | DAVID MARTIN (OWNER) |
| Authorized Official Telephone | 2672586889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities | ||
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
2014 NORTH 3RD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| 1669618906 | Dale Elizabeth Ayton | Nurse Practitioner | 100 W. Oxford St., Philadelphia, PA 19122 | 2008-12-16 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801343660 | Preventive Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7300 Frankford Ave, Philadelphia, PA 19136-4305 | 2016-09-08 |
| 1881217156 | Pdi Health Pa LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2929 Arch St, Philadelphia, PA 19104-2857 | 2020-05-21 |
| 1649745803 | Neuro Dynamics Penn | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 100 N 18th St, Ste 300, Philadelphia, PA 19103 | 2018-10-03 |
| 1144557968 | Digital Diagnostics Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1500 Market St, Suite 1012, 12th Floor, East Tower, Philadelphia, PA 19102-2100 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134677156 | Sphere Mobile Digital Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3412 Bluestone Ln, East Stroudsburg, PA 18301-8116 | 2016-09-19 |
| 1285087288 | Tri State Imaging Solutions LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2840 Pine Rd Suite D1, Huntingdon Valley, PA 19006-4258 | 2016-07-14 |
| 1639439003 | Sky Mobile Digital Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 194 Daffodil Dr, East Stroudsburg, PA 18301-9355 | 2012-05-20 |
| 1053619775 | Source Diagnostics of Pennsylvania, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 175 Snyder Rd, Hermitage, PA 16148-3431 | 2011-03-03 |
| 1699076208 | Pmx Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 501 Gainsboro Rd, Drexel Hill, PA 19026-1213 | 2010-11-12 |
| 1558678227 | Galaxy Mobile Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 719 Blue Mountain Lk, East Stroudsburg, PA 18301-7905 | 2010-09-01 |
| 1144472697 | Practice Optimization Partners LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Rr 2 Box 2183, Factoryville, PA 18419-9621 | 2008-10-15 |
| 1538339718 | Osborne Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3502 Shadewell Ave, Brentwood, PA 15227-2926 | 2008-03-04 |
| 1316083595 | Physician's Mobile X-ray, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 945 E Park Dr, Ste 102, Harrisburg, PA 17111-2804 | 2007-01-29 |
| 1841357902 | Radtech Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Springside Ct, Yardley, PA 19067-3594 | 2007-01-01 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
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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.