EAST COAST DIAGNOSTICS LLC (NPI# 1205231107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205231107 |
| Entity Type | Organization |
| Organization Name | EAST COAST DIAGNOSTICS LLC |
| Practice Address |
2021 Martin Luther King Jr Ave Se Washington DC 20020-7007 |
| Mailing Address |
2840 Pine Rd Suite D1 Huntingdon Valley PA 19006-4258 |
| Practice Telephone | 2159671079 |
| Mailing Telephone | 2159671079 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | LOUISA KIPERVAS (OWNER) |
| Authorized Official Telephone | 2159671079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Street Address |
2021 MARTIN LUTHER KING JR AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653318 | Jalisa Rita Parker | Dental Assistant | 2021 Martin Luther King Jr Ave Se, Washington, DC 20020-7007 | 2019-11-11 |
| 1487192803 | Dc Dental Center PC | Dentist | 2021 Martin Luther King Jr Ave Se, Washington, DC 20020-7007 | 2017-02-06 |
| 1518359314 | Dc Dental Center P.c | Dentist | 2021 Martin Luther King Jr Ave Se, Washington, DC 20020-7007 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306153226 | Imaging Solutions of Southern Utah | Clinic/Center | 968 E High Noon Cir, Washington, UT 84780-8324 | 2010-09-13 |
| 1689297954 | Pdi Health Dc LLC | Clinic/Center | 1300 I St Nw # 400, Washington, DC 20005-3314 | 2020-05-21 |
| 1801434485 | Precision Clinical Imaging LLC | Clinic/Center | 6323 Georgia Ave Nw Ste 102, Washington, DC 20011-1137 | 2019-12-14 |
| 1891835450 | Upmc and The Washington Hospital Cancer Center | Clinic/Center | 95 Leonard Ave, Washington, PA 15301-3368 | 2007-02-06 |
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on EAST COAST DIAGNOSTICS 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.