Active NPI
MRI Diagnoistic and Imaging Center
- Magnetic Resonance Imaging Radiologic Technologist
- East Stroudsburg, PA
National Provider Identifier
1417100892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 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 Center
- Part of
- Neurology Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- East Stroudsburg, PA
- NPI 1326291709
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.