Active NPI
Keystone Diagnostics LLC
- Clinic/Center
- Philadelphia, PA
National Provider Identifier
1902299258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KEYSTONE DIAGNOSTICS LLC
- Practice address
- 1500 Locust St
Ste 3305
Philadelphia, PA 19102-4329 - Phone
- (407) 474-9253
- NPI assigned
- Mar 11, 2015
- Organization subpart
- Yes
- Parent organization
- NATIONAL DIAGNOSTIC SOLUTIONS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Fernandez
- Title
- Manager
- Phone
- (407) 474-9253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1500 Locust St
Ste 3305
Philadelphia, PA 19102-4329
Mailing address
1500 Locust St
Ste 3305
Philadelphia, PA 19102-4329
National Provider Directory
National Provider Directory- Part of
- National Diagnostic Solutions LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426032000000",
"number": "1902299258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LOCUST ST",
"address_2": "STE 3305",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LOCUST ST",
"address_2": "STE 3305",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024329",
"telephone_number": "407-474-9253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE DIAGNOSTICS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONAL DIAGNOSTIC SOLUTIONS LLC",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-474-9253"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Kristy L Keyock, CRNP
- Estella Marie Keys Thompson
- Margot Troutt Keys, LCSW
- Laura Ann Keyser, PH.D, LPC
- Keystone Diagnostics and MRI, LLC
- Keystone Eye Associates, LLC
- Keystone Integrated Health LLC
- Keystone Medical Group
- Keystone Medical Transportation Inc.
- Keystone Orthopaedic & Rehabilitation Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.