Diagnostic Medical Imaging Enterprises LTD

Organization Active NPI Physiological Laboratory · Northampton, PA

NPI 1275709396 · NPPES record last updated May 8, 2008

Key facts

NPI
1275709396
Entity type
Organization (NPI type 2)
Primary specialty
Physiological Laboratory 293D00000X
License
MD037186E (PA)
Legal business name
DIAGNOSTIC MEDICAL IMAGING ENTERPRISES LTD
Practice address
3330 Pheasant Dr
Northampton, PA 18067-9614
Phone
(610) 261-4898
Fax
(610) 261-4899
NPI assigned
May 8, 2008
Organization subpart
No

Authorized official

Name
Dr. Alex B Bodenstab, MD
Title
Medical Director
Phone
(610) 261-4898

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Diagnostic Medical Imaging Enterprises LTD (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X MD037186E PA Yes

Addresses

Primary practice location

3330 Pheasant Dr
Northampton, PA 18067-9614

Mailing address

3330 Pheasant Dr
Northampton, PA 18067-9614
Phone (610) 261-4898

Other providers in Northampton, PA

All providers in Northampton, PA · Physiological Laboratory in Pennsylvania

Sources for this page

Verify at the official NPI Registry.