NPIMap

Organization Active NPI

Imaging Professionals of Pennsylvania PC

Doing business as MRI Imaging of Lehigh Valley

  • Diagnostic Radiology Physician
  • Allentown, PA
National Provider Identifier
1972596385
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
IMAGING PROFESSIONALS OF PENNSYLVANIA PC
Doing business as
MRI Imaging of Lehigh Valley
Practice address
451 W Chew St
Suite 105
Allentown, PA 18102-3472
Phone
(610) 821-2825
Fax
(610) 821-2831
NPI assigned
Aug 31, 2005
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
IMAGING PROFESSIONALS OF PENNSYLVANIA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Mike Carr
Title
President
Phone
(215) 663-5910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

451 W Chew St
Suite 105
Allentown, PA 18102-3472

Mailing address

PO Box 827275
Philadelphia, PA 19182-7275
Phone (215) 663-5910

Other identifiers 1

IdentifierTypeStateIssuer
0011008510024MedicaidPA

Other names 1

  • MRI Imaging of Lehigh Valley Doing business as

National Provider Directory

National Provider Directory
Part of
Imaging Profs of PA PC

Locations

451 Chew St
Ste 105
Allentown, PA 18102
Phone (610) 776-5465

1709 S Broad St
Philadelphia, PA 19148
Phone (215) 271-2000

8001 Roosevelt Blvd
Ste 104
Philadelphia, PA 19152
Phone (215) 331-9100

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1972596385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827275",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827275",
            "telephone_number": "215-663-5910",
            "fax_number": "215-663-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W CHEW ST",
            "address_2": "SUITE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023472",
            "telephone_number": "610-821-2825",
            "fax_number": "610-821-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING PROFESSIONALS OF PENNSYLVANIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMAGING PROFESSIONALS OF PENNSYLVANIA PC",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-663-5910"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011008510024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI Imaging of Lehigh Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.