NPIMap

Organization Active NPI

Tri State Imaging Solutions, LLC

  • Diagnostic Radiology Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1376929190
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRI STATE IMAGING SOLUTIONS, LLC
Practice address
17201 Collins Ave
Unit 1906
Sunny Isles Beach, FL 33160-3475
Phone
(215) 967-1079
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Louisa Kipervas
Title
Owner
Phone
(215) 967-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

17201 Collins Ave
Unit 1906
Sunny Isles Beach, FL 33160-3475

Mailing address

2840 Pine Rd
Unit D1
Huntingdon Valley, PA 19006-4258
Phone (215) 967-1079

National Provider Directory

National Provider Directory
Tax ID family
Tri State Imaging Solutions 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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1376929190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 PINE RD",
            "address_2": "UNIT D1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064258",
            "telephone_number": "215-967-1079",
            "fax_number": "215-967-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 COLLINS AVE",
            "address_2": "UNIT 1906",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603475",
            "telephone_number": "215-967-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE IMAGING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "KIPERVAS",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-967-1079"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.