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LODESPOTO MEDICAL OF PA PLLC NPI 1164962148


NPI Information

NPI: 1164962148
Provider Name: LODESPOTO MEDICAL OF PA PLLC

Former Legal Business Name: LODESPOTO MEDICAL PLLC

Classification: Radiology - 2085N0700X
Entity Type: Organization

Specialization: Neuroradiology

Address:
1500 MARKET STREET
12TH FLOOR EAST TOWER
PHILADELPHIA, PA
ZIP 19102
Phone: (484) 282-7650
Get Directions

LODESPOTO MEDICAL OF PA PLLC is a neuroradiology radiology in Philadelphia, PA. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. LODESPOTO MEDICAL OF PA PLLC NPI is 1164962148. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Lodespoto Medical Pllc.

The provider's business location address is:

1500 MARKET STREET
12TH FLOOR EAST TOWER
PHILADELPHIA, PA
ZIP 19102-152
Phone: (484) 282-7650
Fax: (888) 972-3585

The provider's authorized official is Mark J Lodespoto .
The authorized official title is Owner and has the following contact phone number (484) 282-7650.

The enumeration date for this NPI number is 2/24/2017 and was last updated on 10/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyMD447488PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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