Active NPI
Northeast Imaging Consultants, PC
- Diagnostic Ultrasound Physician
- Clarks Summit, PA
National Provider Identifier
1194831073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- NORTHEAST IMAGING CONSULTANTS, PC
- Practice address
- 638 Fairview Rd
Clarks Summit, PA 18411-8955 - Phone
- (570) 281-1315
- Fax
- (570) 281-1256
- NPI assigned
- Aug 22, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlie Galat
- Title
- Accountant
- Phone
- (570) 586-2091
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | ||
| Diagnostic Ultrasound Physician | 2085U0001X | NU | Primary |
Addresses
Primary practice location
638 Fairview Rd
Clarks Summit, PA 18411-8955
Mailing address
PO Box 517
Carbondale, PA 18407-0517
Phone (570) 281-1287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1395140 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Diagnostic Radiology Physician
- Clarks Summit, PA
- NPI 1639285521
-
- Diagnostic Radiology Physician
- Clarks Summit, PA
- NPI 1205942273
Nuclear Medicine
-
- Diagnostic Ultrasound Physician
- Clarks Summit, PA
- NPI 1720194699
Nuclear Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1194831073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 517",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184070517",
"telephone_number": "570-281-1287",
"fax_number": "570-281-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 FAIRVIEW RD",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184118955",
"telephone_number": "570-281-1315",
"fax_number": "570-281-1256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST IMAGING CONSULTANTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GALAT",
"authorized_official_first_name": "CHARLIE",
"authorized_official_title_or_position": "ACCOUNTANT",
"authorized_official_telephone_number": "570-586-2091"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1395140",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.