Organization Active NPI

Old Trail Imaging, LLC

  • Diagnostic Ultrasound Physician
  • Selinsgrove, PA
National Provider Identifier
1558303016
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
OLD TRAIL IMAGING, LLC
Practice address
21 Susquehanna Valley Mall Drive
Selinsgrove, PA 17870-8409
Phone
(570) 374-4411
NPI assigned
Jun 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Linda Thoms
Title
Operations Manager
Phone
(570) 374-4411

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Internal Medicine Physician 207RM1200X
Body Imaging Physician 2085B0100X
Diagnostic Ultrasound Physician 2085U0001X Primary

Addresses

Primary practice location

21 Susquehanna Valley Mall Drive
Selinsgrove, PA 17870-8409

Mailing address

21 Susquehanna Valley Mall Drive
Selinsgrove, PA 17870-8409
Phone (570) 374-4411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1558303016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SUSQUEHANNA VALLEY MALL DRIVE",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708409",
            "telephone_number": "570-374-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SUSQUEHANNA VALLEY MALL DRIVE",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708409",
            "telephone_number": "570-374-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TRAIL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "THOMS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "570-374-4411"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.