Organization Active NPI

Tri County Imaging Assoc. LTD

  • Diagnostic Radiology Physician
  • Everett, PA
National Provider Identifier
1083698484
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRI COUNTY IMAGING ASSOC. LTD
Practice address
10455 Lincoln Hwy
Everett, PA 15537-7046
Phone
(814) 444-1918
Fax
(814) 444-9782
NPI assigned
Nov 30, 2005
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Jackie Watts
Title
Office Administrator
Phone
(814) 444-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

10455 Lincoln Hwy
Everett, PA 15537-7046

Mailing address

PO Box 1198
Somerset, PA 15501-0336
Phone (814) 444-1918

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1083698484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155010336",
            "telephone_number": "814-444-1918",
            "fax_number": "814-444-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 LINCOLN HWY",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377046",
            "telephone_number": "814-444-1918",
            "fax_number": "814-444-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY IMAGING ASSOC. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "814-444-1918"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.