EXTREMITY MRI INC (NPI# 1609222371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609222371 |
Entity Type | Organization |
Organization Name | EXTREMITY MRI INC |
Other Organization Name | EXTREMITY IMAGING PARTNERS |
Practice Address |
3131 College Heights Blvd Ste 400 Allentown PA 18104 |
Mailing Address |
4500 Brooktree Rd Suite 300 Wexford PA 15090-9289 |
Practice Telephone | 8663987364 |
Practice Fax Number | 8662670144 |
Mailing Telephone | 8663987364 |
Mailing Fax Number | 8662670144 |
Enumeration Date | 2016-05-11 |
Last Update Date | 2018-08-17 |
Authorized Official Name | MR. GERALD BEOUGHER (PRESIDENT) |
Authorized Official Telephone | 8663987364 |
Authorized Official Credential | MBA |
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 |
Other Name | Type Code |
---|---|
Extremity Imaging Partners | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
11011 King St Ste 225, Overland Park, KS 662101230 | 8663987364 | 8662670144 |
7000 Euclid Ave, Cleveland, OH 441034014 | 7249333344 | 8662670144 |
Street Address |
3131 COLLEGE HEIGHTS BLVD STE 400 |
City | ALLENTOWN |
State | PA |
Zip Code | 18104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
1063818557 | Devalben Patel | Pharmacist | 3202 W Cedar St, Allentown, PA 18104 | 2014-11-10 |
Find all providers in zip 18104 |
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 |
---|---|---|---|---|
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 |
1417100892 | Mri Diagnoistic and Imaging Center | Radiologic Technologist | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2008-10-29 |
1811175854 | Zachary B Barr | Radiologic Technologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2008-02-01 |
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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.