Organization Active NPI

IV Medical Diagnostics, PC

  • Health Service Clinic/Center
  • Phoenixville, PA
National Provider Identifier
1013523687
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
IV MEDICAL DIAGNOSTICS, PC
Practice address
361 Vista Dr
Phoenixville, PA 19460-1054
Phone
(917) 310-5925
NPI assigned
Sep 19, 2020
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kyon A. Hood, MD
Title
Director
Phone
(540) 656-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

361 Vista Dr
Phoenixville, PA 19460-1054

Mailing address

20 Rustic Ridge Rd
Fredericksburg, VA 22405-6033
Phone (540) 656-6464

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1013523687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RUSTIC RIDGE RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224056033",
            "telephone_number": "540-656-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 VISTA DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601054",
            "telephone_number": "917-310-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV MEDICAL DIAGNOSTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2022-07-20",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "KYON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-656-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.