Organization Active NPI

Northeast Imaging Consultants, PC

  • Diagnostic Ultrasound Physician
  • Clarks Summit, PA
National Provider Identifier
1194831073
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1395140MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001028 PA Part B Supplier - Clinic/Group Practice 0345220372 Receives reassigned benefits from 1 practitioner
Practice locations: Clarks Summit, PA; Susquehanna, PA; Scranton, PA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.