First State Imaging

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

FIRST STATE IMAGING

Practice address

240 Beiser Blvd
Suite 201C
Dover, DE 19904-7790

Phone

(302) 734-7246

Fax

(302) 678-8890

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ganesh R Balu

Title

President

Phone

(302) 734-7246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396899472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HIDDEN VALLEY DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117463",
            "telephone_number": "302-734-7246",
            "fax_number": "302-678-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BEISER BLVD",
            "address_2": "SUITE 201C",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047790",
            "telephone_number": "302-734-7246",
            "fax_number": "302-678-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALU",
        "authorized_official_first_name": "GANESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-734-7246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firm Foundation Health and Wellness Center LLC
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• First State Anesthesia, LLC
• First State DME LLC
• First State Gastroenterology Association
• First State Infectious Diseases, LLC
• First State Infectious Diseases, LLC
• First State Oral and Maxillofacial Surgery Corp
• First State Orthopaedics PA
• First State Orthopaedics PA

• Body Imaging Physician in Dover, DE
• Providers in Dover, DE by specialty
• Body Imaging Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.