Organization Active NPI

Stammdo Imaging and Diagnostic, LLC

  • Radiology Clinic/Center
  • Elko, NV
National Provider Identifier
1346910916
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
STAMMDO IMAGING AND DIAGNOSTIC, LLC
Practice address
2575 N 5TH St
Elko, NV 89801-5092
Phone
(775) 738-9666
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Molly Popp
Title
Operations Manager
Phone
(775) 738-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2575 N 5TH St
Elko, NV 89801-5092

Mailing address

2575 N 5TH St
Elko, NV 89801-5092
Phone (775) 738-9666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1346910916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015092",
            "telephone_number": "775-738-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015092",
            "telephone_number": "775-738-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMMDO IMAGING AND DIAGNOSTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "POPP",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "775-738-9666"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.