Diagnostic Imaging Centers of Nepa LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DIAGNOSTIC IMAGING CENTERS OF NEPA LLC

Doing business as

Advanced Imaging Specialists (AIS)

Practice address

1000 Meade St
Dunmore, PA 18512-3195

Phone

(570) 504-2519

Fax

(570) 504-2599

NPI assigned

Jul 23, 2008

Last updated

Aug 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori M Bodnar, RCC

Title

Billing Supervisor

Phone

(570) 504-2519

Specialties & licenses 3

Addresses

Other names 1

• Advanced Imaging Specialists (AIS) Doing business as

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1043475551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123195",
            "telephone_number": "570-504-2519",
            "fax_number": "570-504-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123195",
            "telephone_number": "570-504-2519",
            "fax_number": "570-504-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING CENTERS OF NEPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "BODNAR",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "570-504-2519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RCC"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Imaging Specialists (AIS)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Urvish G Desai
• Lori Ann Desando, OTR/L
• Katherine Destefano, LCSW
• Daniel Devivo
• Vithalbhai D Dhaduk, M.D.
• Calista Diprima
• Nicholas David Dodge, MD
• Josephine Doherty
• Joanne Donato-Popko, LCSW
• Donna Eget PC (Medicus Counseling Services)

• Diagnostic Radiology Physician in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.