Active NPI
Pdi Health WV LLC
- Mobile Radiology Clinic/Center
- Martinsburg, WV
National Provider Identifier
1720601347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- PDI HEALTH WV LLC
- Practice address
- 126 E. Burke Street
Martinsburg, WV 25401 - Phone
- (800) 749-9729
- Fax
- (877) 686-1540
- NPI assigned
- May 19, 2020
- 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
- Menacehm Tauber
- Title
- Ceo
- Phone
- (516) 517-4823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
126 E. Burke Street
Martinsburg, WV 25401
Mailing address
12 Spencer St
Brooklyn, NY 11205
Phone (516) 517-4716
National Provider Directory
National Provider Directory- Tax ID family
- Pdi Health WV LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Martinsburg, WV
- NPI 1013530633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751932800000",
"number": "1720601347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SPENCER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11205",
"telephone_number": "516-517-4716",
"fax_number": "877-686-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E. BURKE STREET",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25401",
"telephone_number": "800-749-9729",
"fax_number": "877-686-1540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDI HEALTH WV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-19",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A",
"authorized_official_last_name": "TAUBER",
"authorized_official_first_name": "MENACEHM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "516-517-4823"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.