TRI STATE IMAGING SOLUTIONS, LLC NPI 1407270515

Clinic/Center (Radiology, Mobile) in Wilmington, DE

About TRI STATE IMAGING SOLUTIONS, LLC

Tri State Imaging Solutions, Llc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1407270515. The practitioner's primary taxonomy code is Clinic/Center (261QR0208X). The provider is registered as an organization and their NPI record was last updated 3 years ago. Tri State Imaging Solutions, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI

1407270515

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTRI STATE IMAGING SOLUTIONS, LLC
Provider Location Address3540 THREE LITTLE BAKERS BLVD WILMINGTON, DE 19808 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2840 PINE RD SUITE D1 HUNTINGDON VALLEY, PA 19006 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-10-2014 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-13-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QR0208X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology, Mobile

Business Address

TRI STATE IMAGING SOLUTIONS, LLC
3540 THREE LITTLE BAKERS BLVD
WILMINGTON, DE
ZIP 19808
Phone: (215) 967-1079

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Mailing Address

TRI STATE IMAGING SOLUTIONS, LLC
2840 PINE RD
SUITE D1
HUNTINGDON VALLEY, PA
ZIP 19006
Phone: (215) 967-1049

Authorized Official

Authorized Official Name LOUISA KIPERVAS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(215) 967-1079

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseNo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

22085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyNo

Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467680561PIKE CREEK HEALTHCARE SERVICES LLC
Organization
Skilled Nursing Facility3540 THREE LITTLE BAKERS BLVD
WILMINGTON, DE 19808
(484) 731-2500
1518382985PHYSICIAN'S MOBILE X-RAY, INC
Organization
Radiology (Diagnostic Ultrasound)3540 THREE LITTLE BAKERS BLVD
WILMINGTON, DE 19808
(717) 561-4940
1609291483PHYSICIANS MOBILE X-RAY, INC
Organization
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier3540 THREE LITTLE BAKERS BLVD
WILMINGTON, DE 19808
(717) 561-4940
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