Palm Diagnostics Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

27-0560 Issued in MD

Legal business name

PALM DIAGNOSTICS INC

Practice address

5021 Rome Red Way
Ellicott City, MD 21043-6847

Phone

(301) 675-9824

NPI assigned

May 24, 2011

Last updated

May 24, 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

Augustine Dilim Iloanya

Title

Vice President

Phone

(301) 675-9824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Palm Diagnostics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palm Diagnostics Inc

  • Mobile Radiology Clinic/Center
  • Ellicott City, MD
  • NPI 1417737610
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charulata Patel Mehta, M.D.

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1255490686
  Medicare reassignment NPD

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1871886838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 ROME RED WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436847",
            "telephone_number": "301-675-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 ROME RED WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436847",
            "telephone_number": "301-675-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "ILOANYA",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "DILIM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-675-9824"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MD",
            "license": "27-0560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Pak, DMD
• Kristina Pak
• Juriel Marollano Palabrica
• Gina Rose Palermo, MS LAT ATC
• Palm Diagnostics Inc
• Clara Jeannette Palmieri, MD
• Thasia Palmieri, DPT
• Jeril Marie Millan Pamaong, RPT
• Yuyun Pan
• Michael Pantos, D.M.D

• Mobile Radiology Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Mobile Radiology Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.