Organization Active NPI

Informed Diagnostics, Inc

  • Internal Medicine Physician
  • Huntingdon Valley, PA
National Provider Identifier
1194730770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INFORMED DIAGNOSTICS, INC
Practice address
2600 Philmont Ave Ste 118
Huntingdon Valley, PA 19006-5307
Phone
(215) 947-5508
NPI assigned
Jul 30, 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
Bernard Krik
Title
President
Phone
(215) 947-5508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2600 Philmont Ave Ste 118
Huntingdon Valley, PA 19006-5307

Mailing address

2600 Philmont Ave Ste 118
Huntingdon Valley, PA 19006-5307
Phone (215) 947-5508

National Provider Directory

National Provider Directory

Locations

2600 Philmont Ave
Ste 118
Huntingdon Valley, PA 19006
Phone (215) 947-5508

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194730770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PHILMONT AVE STE 118",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065307",
            "telephone_number": "215-947-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PHILMONT AVE STE 118",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065307",
            "telephone_number": "215-947-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORMED DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIK",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-947-5508"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, 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.