Organization Active NPI

Usdl Pittsburgh, Inc.

Doing business as Monroeville Imaging Center

  • Radiology Clinic/Center
  • Penn Hills, PA
National Provider Identifier
1194702464
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
USDL PITTSBURGH, INC.
Doing business as
Monroeville Imaging Center
Practice address
665 Rodi Rd
Two Rodi Plaza, Suite 103
Penn Hills, PA 15235-4566
Phone
(412) 241-7380
Fax
(412) 241-1395
NPI assigned
Dec 28, 2005
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Robbie Robertson
Title
President and Ceo
Phone
(813) 323-2594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

665 Rodi Rd
Two Rodi Plaza, Suite 103
Penn Hills, PA 15235-4566

Mailing address

23110 State Rd 54
PMB 292
Lutz, FL 33549-4566
Phone (352) 578-2055

Other identifiers 2

IdentifierTypeStateIssuer
0011815460001MedicaidPA
P00056706OtherPARAILROAD MEDICARE

Other names 1

  • Monroeville Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000565 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7517861289 Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

665 Rodi Rd
Ste 103
Pittsburgh, PA 15235
Phone (412) 466-3111

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1194702464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 STATE RD 54",
            "address_2": "PMB 292",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494566",
            "telephone_number": "352-578-2055",
            "fax_number": "813-977-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 RODI RD",
            "address_2": "TWO RODI PLAZA, SUITE 103",
            "city": "PENN HILLS",
            "state": "PA",
            "postal_code": "152354566",
            "telephone_number": "412-241-7380",
            "fax_number": "412-241-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USDL PITTSBURGH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-323-2594"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011815460001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00056706",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroeville Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroeville Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Penn Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.