Sr Medical Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

171063 Issued in NY

Legal business name

SR MEDICAL RADIOLOGY PC

Practice address

2529 87TH St
East Elmhurst, NY 11369-1020

Phone

(718) 848-7142

Fax

(718) 848-7153

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Mark Lodespoto

Title

Owner

Phone

(718) 848-7142

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1780942011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 87TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691020",
            "telephone_number": "718-848-7142",
            "fax_number": "718-848-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 87TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691020",
            "telephone_number": "718-848-7142",
            "fax_number": "718-848-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR MEDICAL RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-848-7142"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "171063",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "171063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01418331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felisha Ann Sorge
• Jhadira Alexandra Soto Chipana
• Paul Spatzner, DDS
• Speedy Revenue Care LLC
• Alvin Spindler, D.D.S.
• Melita Thais Stancil, PH.D.
• Stand-Up MRI of East Elmhurst, PC
• Juliana Straus, MS,OTR/L
• Froilan Suarez, DMSC, MS, PA-C
• Afsana Sultana, PHARMD

• Diagnostic Radiology Physician in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.