Active NPI
Omega Nuclear LLC
- Nuclear Radiology Physician
- Newark, DE
National Provider Identifier
1508824251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- Legal business name
- OMEGA NUCLEAR LLC
- Practice address
- L12 Omega Drive
Newark, DE 19713-2077 - Phone
- (302) 368-8150
- Fax
- (302) 368-3412
- NPI assigned
- May 3, 2006
- Last updated
- Dec 21, 2012
- Organization subpart
- Yes
- Parent organization
- DIA PRACTICE ENTERPRISES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria L Peacock, MS, MS
- Title
- Project Manager
- Phone
- (302) 993-2330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | NU | Primary |
Addresses
Primary practice location
L12 Omega Drive
Newark, DE 19713-2077
Mailing address
1601 Milltown Rd
Suite 13
Wilmington, DE 19808-4027
Phone (302) 993-2330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000142702 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
12 Omega Dr
Newark, DE 19713
Phone (302) 368-8150
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Neuroradiology Physician
- Lewes, DE
- NPI 1023103041
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1326007196
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1760572895
-
- Diagnostic Radiology Physician
- Wilmington, DE
- NPI 1356431480
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1285650986
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1033209176
-
- Diagnostic Radiology Physician
- Wilmington, DE
- NPI 1396720702
-
- Diagnostic Radiology Physician
- Wilmington, DE
- NPI 1437150125
-
- Diagnostic Radiology Physician
- Wilmington, DE
- NPI 1083690929
-
- Diagnostic Radiology Physician
- Wilmington, DE
- NPI 1184682106
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1083645394
-
- Neuroradiology Physician
- Newark, DE
- NPI 1558329219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356048000000",
"number": "1508824251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MILLTOWN RD",
"address_2": "SUITE 13",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084027",
"telephone_number": "302-993-2330",
"fax_number": "302-993-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "L12 OMEGA DRIVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132077",
"telephone_number": "302-368-8150",
"fax_number": "302-368-3412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA NUCLEAR LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIA PRACTICE ENTERPRISES LLC",
"enumeration_date": "2006-05-03",
"last_updated": "2012-12-21",
"status": "A",
"authorized_official_last_name": "PEACOCK",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PROJECT MANAGER",
"authorized_official_telephone_number": "302-993-2330",
"authorized_official_credential": "MS, MS"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000142702",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.