Active NPI
Tristan Associates
Doing business as Susquehanna Valley Imaging
- Diagnostic Radiology Physician
- Lewisburg, PA
National Provider Identifier
1972589075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TRISTAN ASSOCIATES
- Doing business as
- Susquehanna Valley Imaging
- Practice address
- 28 Silvermoon LN
Lewisburg, PA 17837-6354 - Phone
- (570) 522-9300
- Fax
- (570) 522-9304
- NPI assigned
- Dec 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Deloia Jr.
- Title
- Ceo Tristan Associates
- Phone
- (717) 652-6105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
28 Silvermoon LN
Lewisburg, PA 17837-6354
Mailing address
4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone (717) 652-6105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0671945 | Medicaid | PA |
Other names 1
- Susquehanna Valley Imaging
National Provider Directory
National Provider DirectoryLocations
28 Silvermoon Ln
Lewisburg, PA 17837
Phone (570) 522-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972589075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171112910",
"telephone_number": "717-652-6105",
"fax_number": "717-652-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 SILVERMOON LN",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178376354",
"telephone_number": "570-522-9300",
"fax_number": "570-522-9304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRISTAN ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DELOIA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO TRISTAN ASSOCIATES",
"authorized_official_telephone_number": "717-652-6105",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0671945",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Susquehanna Valley Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lewisburg, PA
- TR Enterpise Inc (Kidswork)
- Laurie Wright Treaster, PA-C
- Brenda Sue Trego, C.N.A
- Tricounty Medical Equipment and Supply, LLC (Young's Medical Equipment)
- Tristan Associates
- Angela M Trop, LCSW
- Tricia Troutman
- Jennifer Troxell, LCSW
- Elizabeth Ann True, M.S., CCC-SLP
- Christopher Michael Tucker Jr., CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.