Active NPI
Monroeville Diagnostic Imaging Specialists LLC
- Radiology Clinic/Center
- Monroeville, PA
National Provider Identifier
1770622870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC
- Practice address
- 3824 Northern Pike
Monroeville, PA 15146 - Phone
- (412) 373-6342
- Fax
- (412) 373-6347
- NPI assigned
- Feb 5, 2007
- Last updated
- Jan 28, 2009
- 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
- Dana Wardlow
- Title
- Practice Administrator
- Phone
- (724) 935-6280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
3824 Northern Pike
Monroeville, PA 15146
Mailing address
3824 Northern Pike
Suite 200
Monroeville, PA 15146
Phone (412) 457-0060
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012938680001 | Medicaid | PA | |
| 001736377 | Other | HIGHMARK | |
| 1547029 | Other | GATEWAY | |
| P00271297 | Other | RAILROAD MEDICARE | |
| 7593730 | Other | AETNA |
National Provider Directory
National Provider DirectoryLocations
3824 One Monroeville Ctr
Monroeville, PA 15146
Phone (412) 373-6342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233100800000",
"number": "1770622870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE",
"address_2": "SUITE 200",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "15146",
"telephone_number": "412-457-0060",
"fax_number": "412-457-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "15146",
"telephone_number": "412-373-6342",
"fax_number": "412-373-6347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2009-01-28",
"status": "A",
"authorized_official_last_name": "WARDLOW",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "724-935-6280"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012938680001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "001736377",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1547029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00271297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7593730",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
- Monica L. Rechichar OD PC
- Monroeville Ambulatory Surgery Center, LLC (Allegheny Health Network Monroeville Surgery Center)
- Monroeville Center for Nursing and Rehab LLC (Woodhaven Rehabilitation and Wellness Center)
- Monroeville Chiropractic Health Center, PC
- Monroeville Christian Judea Foundation (The Cedars of Monroeville)
- Monroeville Emergency Medical SVCS Inc
- Monroeville Eye Care Inc
- Monroeville Fire Company No 6 (Monroeville Vol. Fire Co 6)
- Monroeville Hospice Center (Cedars Community Hospice)
- Monroeville Opco LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.