Valley Open MRI and Diagnostic Ctr

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

VALLEY OPEN MRI AND DIAGNOSTIC CTR

Practice address

451 3Rd Ave
Kingston, PA 18704-5802

Phone

(570) 283-0528

Fax

(570) 283-0199

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Sandra Drevenik

Title

Director Practice Operations

Phone

(570) 283-0205

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053306555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045802",
            "telephone_number": "570-283-0528",
            "fax_number": "570-283-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045802",
            "telephone_number": "570-283-0528",
            "fax_number": "570-283-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OPEN MRI AND DIAGNOSTIC CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DREVENIK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "570-283-0205"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707659",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ultra Care Urgent and Family Care
• United Health and Hospital Services, Inc. (Wyoming Valley Family Practice Residency Program)
• Carl J. Urbanski, O.D.
• Urologic Associates of Wilkes Barre Inc
• Valley Counseling Associates, PC
• Valley Vascular Imaging
• Valleygate Surgery Center of NE PA LLC
• Candice Van Etten, CRVT
• Heidy Vargas, COTA/L
• Vascular Access Center of Kingston LLC

• Radiology Clinic/Center in Kingston, PA
• Providers in Kingston, PA by specialty
• Radiology Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.