| Organization Name: | TRI STATE IMAGING SOLUTIONS, LLC |
| NPI Number: | 1134356629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LOUISA KIPERVAS (PRESIDENT) |
| Mailing Address: | 2840 Pine Rd Suite D1 Huntingdon Valley |
| State: | PA US |
| Postal Code: | 190064258 |
| Phone Number: | 2159671079 |
| Fax Number: | 2159671077 |
| NPI Enumeration Date: | 06/11/2009 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |