Organization Active NPI

Lancaster Pet Partnership, LLP

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Lancaster, PA
National Provider Identifier
1487050423
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
LANCASTER PET PARTNERSHIP, LLP
Practice address
2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone
(717) 544-3030
Fax
(717) 544-3220
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Luann V Paulin
Title
Credentialing Specialist
Phone
(717) 412-1295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

2100 Harrisburg Pike
Lancaster, PA 17601-2644

Mailing address

PO Box 4216
Lancaster, PA 17604-4216
Phone (717) 394-6028

Other identifiers 1

IdentifierTypeStateIssuer
019156890004MedicaidPA

Other names 1

  • Lancaster PET Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1487050423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4216",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044216",
            "telephone_number": "717-394-6028",
            "fax_number": "717-509-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3030",
            "fax_number": "717-544-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER PET PARTNERSHIP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "PAULIN",
        "authorized_official_first_name": "LUANN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "717-412-1295"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019156890004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster PET Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lancaster PET Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.