Pdi Health VA LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

PDI HEALTH VA LLC

Practice address

7400 Beaufont Springs Dr
North Chesterfield, VA 23225-5556

Phone

(800) 749-9729

Fax

(877) 686-1540

NPI assigned

Jul 29, 2019

Last updated

Jul 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Menachem Tauber

Title

Ceo

Phone

(516) 517-4823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pdi Health VA LLC

  dba Preventive Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Chesterfield, VA
  • NPI 1538714704

  8022349927

  Same PAC ID

Tax ID family

Pdi Health VA LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pdi Health VA LLC

  dba Preventive Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Chesterfield, VA
  • NPI 1538714704
  NPD tax ID

Locations

Practitioners 5

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.

• Benita F Banks, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1801867593
  NPD
• Jonathan Scott Dorn, M.D.

  • Diagnostic Radiology Physician
  • Merritt Island, FL
  • NPI 1609024470
  NPD (past)
• Joseph Freedman, M.D., MBA

  • Cardiovascular Disease Physician
  • Cape Coral, FL
  • NPI 1801061890
  NPD (past)
• Anthony M Johnson, M.D.

  • Diagnostic Radiology Physician
  • Solon, OH
  • NPI 1730132119
  NPD (past)
• Elliott Jay Wagner, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1558312579
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1306490222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051891",
            "telephone_number": "516-517-4716",
            "fax_number": "877-686-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255556",
            "telephone_number": "800-749-9729",
            "fax_number": "877-686-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI HEALTH VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-517-4823"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felisha Paul
• Eryn Paxton
• Brenda C Payne, PT
• Jessica Starring Payne, QMHP, BCABA, LABA
• Melissa Vandagriff Payne, FNP-BC
• Pdi Health VA LLC (Preventive Diagnostics)
• Peace Health Services, LLC
• Sally Peace
• Pediatric Feeding Services, Inc.
• Brenda Pedra, PA-C

• Mobile Radiology Clinic/Center in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mobile Radiology Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.