Premier Diagnostic Imaging, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

15D1048961 Issued in IN

Legal business name

PREMIER DIAGNOSTIC IMAGING, LLC

Practice address

135 E McCallister Dr
Terre Haute, IN 47802-4247

Phone

(812) 478-3900

Fax

(812) 478-5868

NPI assigned

Dec 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jayaprakasarao Konijeti, MD

Title

Owner

Phone

(812) 478-3900

Specialties & licenses 1

Addresses

Practitioners 1

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

• Srinivasarao Malyala, M.D.

  • Diagnostic Radiology Physician
  • Terre Haute, IN
  • NPI 1467499848
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1982840179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E MCCALLISTER DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024247",
            "telephone_number": "812-478-3900",
            "fax_number": "812-478-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E MCCALLISTER DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024247",
            "telephone_number": "812-478-3900",
            "fax_number": "812-478-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "KONIJETI",
        "authorized_official_first_name": "JAYAPRAKASARAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-478-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "15D1048961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrone Powell, PHD, HSPP
• Prabhu Dental LLC
• Sawan Prabhu, D.D.S.
• Prairie Creek Radiology,Inc
• Premier Diagnostic Imaging LLC
• Premier Medical Management LTD
• Premier Practice Development Inc Health Source of Savannah
• Keegan Patrick Prescott
• Anneliese Noel Pressel
• Cassi Rae Price, LMT

• Clinical Medical Laboratory in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.