NPIMap

Organization Active NPI

Innovative Diagnostic Solutions LLC

  • Cardiovascular Disease Physician
  • Berwyn, PA
National Provider Identifier
1215232038
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD063627L Issued in PA
Legal business name
INNOVATIVE DIAGNOSTIC SOLUTIONS LLC
Practice address
587 Waterloo Cir
Berwyn, PA 19312-3701
Phone
(610) 608-8787
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Dr. Neal Skop, MD
Title
Physician Director
Phone
(610) 608-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD063627L PA Primary

Addresses

Primary practice location

587 Waterloo Cir
Berwyn, PA 19312-3701

Mailing address

587 Waterloo Cir
Berwyn, PA 19312-3701
Phone (610) 608-8787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1215232038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 WATERLOO CIR",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193123701",
            "telephone_number": "610-608-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 WATERLOO CIR",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193123701",
            "telephone_number": "610-608-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DIAGNOSTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "SKOP",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "PHYSICIAN DIRECTOR",
        "authorized_official_telephone_number": "610-608-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD063627L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.