Penn Diagnostic Co.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PENN DIAGNOSTIC CO.

Practice address

2014 North 3Rd St
Philadelphia, PA 19122

Phone

(267) 258-6889

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

David Martin

Title

Owner

Phone

(267) 258-6889

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1033719919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 BUSTLETON AVE UNIT 14528",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 NORTH 3RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19122",
            "telephone_number": "267-258-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN DIAGNOSTIC CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-258-6889"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@penndiag.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9925 Bustleton Ave Unit 14528",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191155916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Penn Acupuncture Partners
• Penn Asian Healthcare Services LLC
• Penn Asian Senior Services, Inc.
• Penn Center for Rehabiliation and Care
• Penn Dental Center PC
• Penn Ergonomics, LLC
• Penn Executive Diagnostic Center, Inc.
• Penn Executive Diagnostic Center, Inc.
• Penn Hope Transport Inc
• Penn House Homecare LLC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.