Source Diagnostics of Pennsylvania, LLC

Primary specialty

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

Legal business name

SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC

Practice address

175 Snyder Rd
Hermitage, PA 16148-3431

Phone

(440) 645-7822

Fax

(440) 542-9482

NPI assigned

Mar 3, 2011

Last updated

Apr 12, 2012By 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

Ms. Kathleen Ann Barry

Title

C.O.O.

Phone

(440) 645-7822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1053619775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 NAIMAN PKWY",
            "address_2": "SUITE E",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391029",
            "telephone_number": "440-645-7822",
            "fax_number": "440-542-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SNYDER RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483431",
            "telephone_number": "440-645-7822",
            "fax_number": "440-542-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "440-645-7822",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Renee Smith, PC
• Vita Smith, MA
• Tyler H Snodgrass, DC
• Walter John Sokac Jr., OTR
• Sole Solutions Podiatry LTD
• Source Diagnostics of Pennsylvania, LLC
• Dale F Spadafora, DMD
• Specialty Orthopaedics PC PT
• Specialty Orthopaedics, P.C. (Robert W. Piston, M.D., P.C.)
• Specialty Orthopaedics, PC OT

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hermitage, PA
• Providers in Hermitage, 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 Apr 12, 2012; 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.