Organization Active NPI

Pocono MRI Imaging and Diagnostic Center,LLC

  • Clinical Medical Laboratory
  • East Stroudsburg, PA
National Provider Identifier
1992050892
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC
Practice address
239 E Brown St
East Stroudsburg, PA 18301-3005
Phone
(570) 421-3872
Fax
(570) 421-0842
NPI assigned
Jul 17, 2012
Organization subpart
Yes
Parent organization
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Bhavna Chhabria, MD
Title
Ceo
Phone
(570) 517-7393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

239 E Brown St
East Stroudsburg, PA 18301-3005

Mailing address

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087
Phone (570) 424-8000

National Provider Directory

National Provider Directory
Part of
Pocono MRI Imag Diag CNTR

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1992050892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKINSONS RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-8000",
            "fax_number": "570-517-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013005",
            "telephone_number": "570-421-3872",
            "fax_number": "570-421-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "CHHABRIA",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-517-7393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.