NPIMap

Organization Active NPI

Pocono MRI Imaging and Diagnostic Center, LLC

  • Clinical Medical Laboratory
  • East Stroudsburg, PA
National Provider Identifier
1851638092
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
Practice address
3 Parkinsons Rd
East Stroudsburg, PA 18301-8087
Phone
(570) 424-8000
Fax
(570) 517-5100
NPI assigned
Jan 8, 2013
Organization subpart
Yes
Parent organization
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Bhavna Chhabria, MD
Title
Ceo
Phone
(570) 517-7393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087

Mailing address

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087
Phone (570) 424-8000

National Provider Directory

National Provider Directory
Part of
Pocono MRI Imag Diag CNTR

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3 Parkinsons Rd
Ste B
East Stroudsburg, PA 18301
Phone (570) 424-8000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1851638092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKINSONS RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-8000",
            "fax_number": "570-517-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKINSONS RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-8000",
            "fax_number": "570-517-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "CHHABRIA",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-517-7393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.