DIAGNOSTIC MEDICAL IMAGING ENTERPRISES LTD NPI 1992784375

NPI Information

  • NPI: 1992784375
  • Provider Name: DIAGNOSTIC MEDICAL IMAGING ENTERPRISES, LTD
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Other Name: DIAGNOSTIC MEDICAL, P. C.
  • Address: 3330 PHEASANT DR
    NORTHAMPTON, PA
    ZIP 18067
  • Phone: (610) 261-4898

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NPI Details

DIAGNOSTIC MEDICAL IMAGING ENTERPRISES, LTD is a physiological laboratory in Northampton, PA. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. DIAGNOSTIC MEDICAL IMAGING ENTERPRISES, LTD NPI is 1992784375. The provider is registered as an organization entity type.
The provider Other Name Is Diagnostic Medical, P. C..

The provider's business location address is:

3330 PHEASANT DR
NORTHAMPTON, PA
ZIP 18067-614
Phone: (610) 261-4898
Fax: (610) 261-4899

The provider's authorized official is Alex B Bodenstab .
The authorized official title is Medical Director and has the following contact phone number (610) 261-4898.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 5/5/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryMD037186EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B66388MEDICARE UPINPENNSYLVANIA
2021500MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
301383052OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
42086219000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS
5W56839MEDICARE UPINPENNSYLVANIA

What is NPI?

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This page was last updated on: 11/21/2025

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