NPIMap

Organization Active NPI

East Memphis Pet Imaging, LLC

  • Diagnostic Radiology Physician
  • Memphis, TN
National Provider Identifier
1124130687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EAST MEMPHIS PET IMAGING, LLC
Practice address
6005 Park Ave
Suite 101-B
Memphis, TN 38119-5202
Phone
(901) 685-3114
Fax
(901) 685-3124
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. R. Steven RoneyNPI 1972557031
Title
President
Phone
(901) 685-3114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6005 Park Ave
Suite 101-B
Memphis, TN 38119-5202

Mailing address

PO Box 171206
Memphis, TN 38187-1206
Phone (901) 685-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, NE, NV, AZ, WV, MD, NC8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20031119000625 TN Part B Supplier - Clinic/Group Practice 8820902190 Receives reassigned benefits from 9 practitioners
Practice locations: Memphis, TN
O20210205000650 TX Part B Supplier - Clinic/Group Practice 8820902190 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX
O20210205000791 NE Part B Supplier - Clinic/Group Practice 8820902190 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20210225000829 NV Part B Supplier - Clinic/Group Practice 8820902190 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, NV
O20210309001977 AZ Part B Supplier - Clinic/Group Practice 8820902190 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20210311002878 WV Part B Supplier - Clinic/Group Practice 8820902190 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, WV
O20250731002686 MD Part B Supplier - Clinic/Group Practice 8820902190 Receives reassigned benefits from 1 practitioner
Practice locations: Lutherville, MD
O20251022003047 NC Part B Supplier - Clinic/Group Practice 8820902190 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

6005 Park Ave
Ste 101B
Memphis, TN 38119
Phone (901) 685-3114

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124130687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171206",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381871206",
            "telephone_number": "901-685-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 101-B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-685-3114",
            "fax_number": "901-685-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEMPHIS PET IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RONEY",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-685-3114",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.