Organization Active NPI

Teomar Imaging PLC

  • Phlebology Physician
  • Iron Mountain, MI
National Provider Identifier
1548567142
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
4301076417 Issued in MI
Legal business name
TEOMAR IMAGING PLC
Doing business as
Iron Mountain Vein
Practice address
1115 S Hemlock St
Suite 3
Iron Mountain, MI 49801-3800
Phone
(855) 834-6292
Fax
(855) 834-6292
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Dr. Emma Diponio, M.D.
Title
President
Phone
(855) 834-6292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X 4301076417 MI Primary

Addresses

Primary practice location

1115 S Hemlock St
Suite 3
Iron Mountain, MI 49801-3800

Mailing address

PO Box 767
Iron Mountain, MI 49801-0767

Other names 1

  • Iron Mountain Vein Doing business as

National Provider Directory

National Provider Directory

Locations

1711 S Stephenson Ave
Ste 125
Iron Mountain, MI 49801
Phone (906) 776-5810

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1548567142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498010767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S HEMLOCK ST",
            "address_2": "SUITE 3",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013800",
            "telephone_number": "855-834-6292",
            "fax_number": "855-834-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEOMAR IMAGING PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "DIPONIO",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-834-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "MI",
            "license": "4301076417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iron Mountain Vein",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.