NPIMap

Organization Active NPI

Micro Diagnostics Imaging Inc

  • Durable Medical Equipment & Medical Supplies
  • Lake Ariel, PA
National Provider Identifier
1407048689
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MICRO DIAGNOSTICS IMAGING INC
Practice address
473 Easton Turnpike
Suite G
Lake Ariel, PA 18436
Phone
(570) 689-0400
Fax
(570) 689-0600
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Anthony Ullo
Title
Owner
Phone
(570) 689-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PA Primary

Addresses

Primary practice location

473 Easton Turnpike
Suite G
Lake Ariel, PA 18436

Mailing address

473 Easton Turnpike
Suite G
Lake Ariel, PA 18436
Phone (570) 689-0400

National Provider Directory

National Provider Directory

Locations

473 Easton Tpke
Ste G
Lake Ariel, PA 18436
Phone (570) 689-0400

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407048689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 EASTON TURNPIKE",
            "address_2": "SUITE G",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "18436",
            "telephone_number": "570-689-0400",
            "fax_number": "570-689-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 EASTON TURNPIKE",
            "address_2": "SUITE G",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "18436",
            "telephone_number": "570-689-0400",
            "fax_number": "570-689-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICRO DIAGNOSTICS IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ULLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-689-0400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ariel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.