Organization Active NPI

Kinetic Imaging, Inc

  • Diagnostic Radiology Physician
  • Carlisle, PA
National Provider Identifier
1144311473
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD047428L Issued in PA
Legal business name
KINETIC IMAGING, INC
Practice address
45 Sprint Dr
Carlisle, PA 17013-7696
Phone
(717) 960-3313
Fax
(717) 690-3301
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Christopher Ladd, M.D.
Title
Radiologist
Phone
(717) 960-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD047428L PA Primary

Addresses

Primary practice location

45 Sprint Dr
Carlisle, PA 17013-7696

Mailing address

4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone (717) 652-6105

Other identifiers 1

IdentifierTypeStateIssuer
10170914600001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1144311473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112910",
            "telephone_number": "717-652-6105",
            "fax_number": "717-652-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SPRINT DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170137696",
            "telephone_number": "717-960-3313",
            "fax_number": "717-690-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "717-960-3313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD047428L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10170914600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.