Organization Active NPI

Dis Aquisition Corp

  • Radiology Clinic/Center
  • Poway, CA
National Provider Identifier
1508919978
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIS AQUISITION CORP
Practice address
13950 Stowe Dr
Poway, CA 92064-8803
Phone
(800) 947-6134
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Michael Keenan
Title
Ceo
Phone
(813) 496-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

13950 Stowe Dr
Poway, CA 92064-8803

Mailing address

4519 George Rd
Ste 100
Tampa, FL 33634-7329

Other names 1

  • Digirad Ultrascan Solutions, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

13950 Stowe Dr
Poway, CA 92064
Phone (800) 947-6134

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1508919978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 STOWE DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920648803",
            "telephone_number": "800-947-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIS AQUISITION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-496-1075"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digirad Ultrascan Solutions, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.