East Coast Diagnostics LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

EAST COAST DIAGNOSTICS LLC

Practice address

2021 Martin Luther King Jr Ave SE
Washington, DC 20020-7007

Phone

(215) 967-1079

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Louisa Kipervas

Title

Owner

Phone

(215) 967-1079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1205231107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 PINE RD",
            "address_2": "SUITE D1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064258",
            "telephone_number": "215-967-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207007",
            "telephone_number": "215-967-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "KIPERVAS",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-967-1079"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Mobile Radiology Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.