Organization Active NPI

Indigo Diagnostic Imaging

  • Diagnostic Ultrasound Physician
  • Ellsworth, ME
National Provider Identifier
1346771391
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
INDIGO DIAGNOSTIC IMAGING
Practice address
102 Main St Ste a
Ellsworth, ME 04605-1919
Phone
(844) 934-6243
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Tamara L Thomas, RDMS, RVT
Title
Director/Chief Sonographer
Phone
(844) 943-6243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

102 Main St Ste a
Ellsworth, ME 04605-1919

Mailing address

102 Main St Ste a
Ellsworth, ME 04605-1919
Phone (844) 934-6243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1346771391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST STE A",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051919",
            "telephone_number": "844-934-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST STE A",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051919",
            "telephone_number": "844-934-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/CHIEF SONOGRAPHER",
        "authorized_official_telephone_number": "844-943-6243",
        "authorized_official_credential": "RDMS, RVT"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.