Internal Medicine Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTERNAL MEDICINE DIAGNOSTICS INC

Practice address

881 Hills PLZ
Suite 530
Ebensburg, PA 15931-4213

Phone

(814) 419-8084

Fax

(814) 419-8053

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Molly B Trostle

Title

Physician/Owner

Phone

(814) 419-8084

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1306240692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 HILLS PLZ",
            "address_2": "SUITE 530",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314213",
            "telephone_number": "814-419-8084",
            "fax_number": "814-419-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 HILLS PLZ",
            "address_2": "SUITE 530",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314213",
            "telephone_number": "814-419-8084",
            "fax_number": "814-419-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "TROSTLE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "814-419-8084",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Hostetter, RN
• Taylor Nicole Hritz
• Michael A Hull
• Ethan R Hummel, PTA
• Kelly Hutchinson
• Mary Lynn Jacko, PT
• Reena Jindia
• John M Rizzo D.C.
• Danna Johnson, RPH
• Timothy Lee Johnson Jr., BS

• Clinical Medical Laboratory in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.