Tri State Imaging Solutions, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

TRI STATE IMAGING SOLUTIONS, LLC

Practice address

3540 Three Little Bakers Blvd
Wilmington, DE 19808-1754

Phone

(215) 967-1079

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Louisa Kipervas

Title

President

Phone

(215) 967-1079

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1407270515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 PINE RD",
            "address_2": "SUITE D1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064258",
            "telephone_number": "215-967-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 THREE LITTLE BAKERS BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081754",
            "telephone_number": "215-967-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE IMAGING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "KIPERVAS",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-967-1079"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trauma Rehabilitation , P.a.
• Arthur W Travis, D.C.
• Diane Treadwell-Deering, MD
• Kristina Nicole Treml
• Rebecca Dawn Trent, LPCMH
• Tri-State Anesthesia Associates LLC
• Tri-State Integrative Health, LLC
• Tri-State Podiatry Associates,PA
• Tri-State Renovations LLC
• Triad Ministry Inc

• Mobile Radiology Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Mobile Radiology Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.