Southeast Medical Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTHEAST MEDICAL IMAGING, LLC

Practice address

300 Evergreen Dr
Suite 210
Glen Mills, PA 19342-1059

Phone

(610) 579-3500

Fax

(610) 579-3501

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kurt A Muetterties, MD

Title

Medical Director

Phone

(610) 579-3505

Specialties & licenses 2

Addresses

Other names 1

• The Vein Center at Brinton Lake Doing business as

Practitioners 3

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

• Stefan M Skalina, MD

  • Diagnostic Radiology Physician
  • Upland, PA
  • NPI 1841284403
  NPD (past)
• Steven B Gilman, MD

  • Diagnostic Radiology Physician
  • Sandwich, MA
  • NPI 1124012851
  NPD (past)
• Prashant Parashurama, M.D.

  • Diagnostic Radiology Physician
  • Paterson, NJ
  • NPI 1851382329
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1497784177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477010078",
            "telephone_number": "610-579-3500",
            "fax_number": "610-579-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EVERGREEN DR",
            "address_2": "SUITE 210",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421059",
            "telephone_number": "610-579-3500",
            "fax_number": "610-579-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "MUETTERTIES",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-579-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vein Center at Brinton Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SNH Penn Tenant LLC
• Lora Snyder
• Cory A Sockriter
• Hema R Somarajan, DMD
• Mia Song, DO
• Theresa M Souza, PHD, M.S,, T.L.L.P.
• Bridget Delellis Spayd, COTA/L
• Brooke Yvette Spence, PMHNP
• Judy Vu Spica, PHARMD
• Tanya Srouji

• Diagnostic Radiology Physician in Glen Mills, PA
• Providers in Glen Mills, 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 Mar 19, 2018; 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.