Active NPI
Indigo Diagnostic Imaging
- Diagnostic Ultrasound Physician
- Ellsworth, ME
National Provider Identifier
1346771391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 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 DirectoryNPI 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.