Liberty Portable X-Ray & Diagnostic Solutions LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

LIBERTY PORTABLE X-RAY & DIAGNOSTIC SOLUTIONS LLC

Practice address

1510 Chester Pike
Baldwin Tower, 7TH Floor
Eddystone, PA 19022-1375

Phone

(717) 607-1700

Fax

(717) 607-1710

NPI assigned

Feb 13, 2017

Last updated

Jan 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Philipps

Title

Director of Operations

Phone

(717) 607-1700

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Liberty Portable X-Ray & Diagnostic Solutions LLC

  • Mobile Radiology Clinic/Center
  • Eddystone, PA
  • NPI 1700305521
  NPPES parent name

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706400000000",
    "number": "1710426622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981733",
            "telephone_number": "717-607-1700",
            "fax_number": "717-607-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CHESTER PIKE",
            "address_2": "BALDWIN TOWER, 7TH FLOOR",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221375",
            "telephone_number": "717-607-1700",
            "fax_number": "717-607-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PORTABLE X-RAY & DIAGNOSTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "PHILIPPS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "717-607-1700"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Francis Kerrigan Jr.
• Carole Kriessman, RN
• John H Lacoboulos, PT
• Nefertiti Lafayette
• Liberty Portable X-Ray & Diagnostic Solutions LLC
• Laurie-Ann Liu, OD
• Krystal Mason-Copeland
• Catherine Marie McElroy, CRNP-BC
• Daisy Lee McGowan
• Pamela G Mehalick, DO

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Eddystone, PA
• Providers in Eddystone, PA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.