Valley Advanced MRI LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

3054017 Issued in PA

Legal business name

VALLEY ADVANCED MRI LLC

Practice address

2403 Butler St
Easton, PA 18042

Phone

(610) 258-1200

Fax

(610) 258-1106

NPI assigned

May 13, 2006

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James J Stuppino

Title

Ceo Owner

Phone

(610) 258-1200

Specialties & licenses 1

Addresses

Other identifiers 11

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1497706576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 BUTLER ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18042",
            "telephone_number": "610-258-1200",
            "fax_number": "610-258-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 BUTLER ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18042",
            "telephone_number": "610-258-1200",
            "fax_number": "610-258-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ADVANCED MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "STUPPINO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "610-258-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "3054017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03272900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1522296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIGAP BLUE SHIELD",
            "identifier": "1367521",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00021587",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC PPO",
            "identifier": "1366772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "VA1366772",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001894533",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS THREE RIVERS",
            "identifier": "130512",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2684292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE CALL MEDICAL",
            "identifier": "PA178",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8853701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Valley Health Partners Community Health Center (VHP Family Smiles at South Side)
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• Valley Health Partners Community Health Center (VHP - Pediatrics - Southside)
• Valley Youth House Committe, Inc.

• Diagnostic Radiology Physician in Easton, PA
• Providers in Easton, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.