Active NPI
Radiology Associates of Scranton LLC
- Diagnostic Radiology Physician
- Scranton, PA
National Provider Identifier
1700879129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS001940L
- Legal business name
- RADIOLOGY ASSOCIATES OF SCRANTON LLC
- Practice address
- 1800 Mulberry St
Scranton, PA 18510-2369 - Phone
- (570) 969-4069
- Fax
- (570) 969-4069
- NPI assigned
- Aug 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Burton Marks, DO
- Title
- Director
- Phone
- (570) 450-4357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS001940L | PA | Primary |
Addresses
Primary practice location
1800 Mulberry St
Scranton, PA 18510-2369
Mailing address
PO Box 249
Dunmore, PA 18512-0249
Phone (570) 969-4069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1920651 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1700879129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185120249",
"telephone_number": "570-969-4069",
"fax_number": "570-969-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MULBERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102369",
"telephone_number": "570-969-4069",
"fax_number": "570-969-4069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF SCRANTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-31",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "MARKS",
"authorized_official_first_name": "BURTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "570-450-4357",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "OS001940L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1920651",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.