Organization Active NPI

MRI Diagnoistic and Imaging Center

  • Magnetic Resonance Imaging Radiologic Technologist
  • East Stroudsburg, PA
National Provider Identifier
1417100892
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
MRI DIAGNOISTIC AND IMAGING CENTER
Practice address
230 Independence Rd
East Stroudsburg, PA 18301-9447
Phone
(570) 424-6300
Fax
(570) 420-0746
NPI assigned
Oct 29, 2008
Organization subpart
Yes
Parent organization
NORTHEASTERN REHABILIATION AND PAIN MANAGEMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Mrs. Traci L Benjamin
Title
Office Manager
Phone
(570) 420-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

230 Independence Rd
East Stroudsburg, PA 18301-9447

Mailing address

230 Independence Rd
East Stroudsburg, PA 18301-9447
Phone (570) 424-6300

National Provider Directory

National Provider Directory
Tax ID family
Neurology Center2 organizations share this tax ID, including this one
Part of
Neurology Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

230 Independence Rd
East Stroudsburg, PA 18301
Phone (215) 293-9560

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1417100892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019447",
            "telephone_number": "570-424-6300",
            "fax_number": "570-420-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019447",
            "telephone_number": "570-424-6300",
            "fax_number": "570-420-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI DIAGNOISTIC AND IMAGING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEASTERN REHABILIATION AND PAIN MANAGEMENT CENTER",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-420-0111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.