NPIMap

Organization Active NPI

Excela RCL Pet CT Imaging LLC

  • Diagnostic Radiology Physician
  • Greensburg, PA
National Provider Identifier
1144260415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EXCELA RCL PET CT IMAGING LLC
Practice address
2000 Village Drive
Greensburg, PA 15601
Phone
(724) 836-0637
Fax
(724) 836-0641
NPI assigned
Jun 7, 2006
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
Mr. Richard William Caruso
Title
Secretary Treasurer
Phone
(724) 832-4030

Specialties & licenses 1

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

Addresses

Primary practice location

2000 Village Drive
Greensburg, PA 15601

Mailing address

7 Acee Drive
Natrona Heights, PA 15065
Phone (800) 223-5544

Other identifiers 5

IdentifierTypeStateIssuer
1014980410001OtherMEDICAL ASSISTANCE
1014980410001MedicaidPA
1548932OtherGATEWAY
9867791OtherCIGNA
5447LAOtherMISYS FAST CLAIM

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

514 Pellis Rd
Ste 200
Greensburg, PA 15601

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144260415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ACEE DRIVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "15065",
            "telephone_number": "800-223-5544",
            "fax_number": "724-294-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VILLAGE DRIVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-836-0637",
            "fax_number": "724-836-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELA RCL PET CT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "724-832-4030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1014980410001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014980410001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1548932",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9867791",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISYS FAST CLAIM",
            "identifier": "5447LA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.