Liamot Vascular Imaging

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA08401100 Issued in NJ

Legal business name

LIAMOT VASCULAR IMAGING

Practice address

30 Belmont Cir
Columbus, NJ 08022-9714

Phone

(609) 298-2910

Fax

(609) 450-7224

NPI assigned

Jan 15, 2011

Last updated

May 5, 2011By 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

Dr. Prathibha Potharlanka, M.D.

Title

Owner

Phone

(609) 298-2910

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1780989103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELMONT CIR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229714",
            "telephone_number": "609-298-2910",
            "fax_number": "609-450-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELMONT CIR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229714",
            "telephone_number": "609-298-2910",
            "fax_number": "609-450-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIAMOT VASCULAR IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "POTHARLANKA",
        "authorized_official_first_name": "PRATHIBHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-298-2910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08401100",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Klein, BCBA
• Meghan Klouser, MS, OTR
• David Clark Kopsco, NP
• Olivia Rose Landis, RN
• Legacy Treatment Serivces, Inc.
• Heather Linda Lingley, DVM
• Renee Lloyd, DMD
• Maria D. Lugo, M.D.
• Ruth Lyons-Marcus, PT
• M&M Smiles LLC (Columbus Dental Arts)

• Cardiovascular Disease Physician in Columbus, NJ
• Providers in Columbus, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.