First State Diagnostic Center, Inc

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

C1-0004005 Issued in DE

Legal business name

FIRST STATE DIAGNOSTIC CENTER, INC

Practice address

2401 Pennsylvania Ave
Suite 101
Wilmington, DE 19806-1401

Phone

(302) 777-1103

Fax

(302) 777-1113

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kamar Tayo Adeleke, M.D.NPI 1902805922

Title

President

Phone

(302) 777-1103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kamar T Adeleke, M.D, F.A.C.C

  • Cardiovascular Disease Physician
  • Wilmington, DE
  • NPI 1902805922
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508947482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061401",
            "telephone_number": "302-777-1103",
            "fax_number": "302-777-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061401",
            "telephone_number": "302-777-1103",
            "fax_number": "302-777-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE DIAGNOSTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADELEKE",
        "authorized_official_first_name": "KAMAR",
        "authorized_official_middle_name": "TAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-777-1103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "DE",
            "license": "C1-0004005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Fiorentino
• Louise Fiori
• Deborah Firko, MSPT
• Jennette A Firlein, APN
• First State Dental P.a.
• First State Employment Services
• First State Endodontics, LLC
• First State Foot & Ankle, LLC
• First State Home Care LLC
• First State Infectious Disease Specialists LLC

• All providers in Wilmington, DE
• Nuclear Medicine Technology Radiologic Technologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.