Organization Active NPI

Imaging Professionals of Pennsylvania PC

Doing business as Springfield Diagnostic Imaging Center

  • Diagnostic Radiology Physician
  • Springfield, PA
National Provider Identifier
1063405470
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
IMAGING PROFESSIONALS OF PENNSYLVANIA PC
Doing business as
Springfield Diagnostic Imaging Center
Practice address
891 Baltimore Pike
Springfield, PA 19064-3954
Phone
(888) 440-6494
Fax
(330) 759-1501
NPI assigned
Aug 31, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
IMAGING PROFESSIONALS OF PENNSYLVANIA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David L Bloom
Title
MD
Phone
(973) 707-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X PA Primary

Addresses

Primary practice location

891 Baltimore Pike
Springfield, PA 19064-3954

Mailing address

1430 Spring Hill Rd
Suite 500
MC Lean, VA 22102-3000
Phone (973) 707-1100

Other identifiers 1

IdentifierTypeStateIssuer
0011008510019MedicaidPA

Other names 1

  • Springfield Diagnostic Imaging Center Doing business as

National Provider Directory

National Provider Directory
Part of
Imaging Profs of PA PC

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063405470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SPRING HILL RD",
            "address_2": "SUITE 500",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023000",
            "telephone_number": "973-707-1100",
            "fax_number": "973-707-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643954",
            "telephone_number": "888-440-6494",
            "fax_number": "330-759-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING PROFESSIONALS OF PENNSYLVANIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMAGING PROFESSIONALS OF PENNSYLVANIA PC",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-707-1100"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011008510019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Diagnostic Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.