Organization Active NPI

Palm Diagnostics Inc

  • Mobile Radiology Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1417737610
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PALM DIAGNOSTICS INC
Practice address
5021 Rome Red Way
Ellicott City, MD 21043-6847
Phone
(410) 788-7256
Fax
(443) 636-5418
NPI assigned
Oct 4, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Augustine Dilim Iloanya
Title
Owner
Phone
(301) 675-9824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X NU Primary

Addresses

Primary practice location

5021 Rome Red Way
Ellicott City, MD 21043-6847

Mailing address

5021 Rome Red Way
Ellicott City, MD 21043-6847
Phone (410) 788-7256

National Provider Directory

National Provider Directory
Tax ID family
Palm Diagnostics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1417737610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 ROME RED WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436847",
            "telephone_number": "410-788-7256",
            "fax_number": "443-636-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 ROME RED WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436847",
            "telephone_number": "410-788-7256",
            "fax_number": "443-636-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "ILOANYA",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "DILIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-675-9824"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.