Organization
TRI STATE IMAGING SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA KIPERVAS (PRESIDENT)
(215) 967-1079
Entity
Organization
Contact information
Practice address
3540 THREE LITTLE BAKERS BLVD, WILMINGTON, DE 19808-1754
(215) 967-1079
Mailing address
2840 PINE RD, SUITE D1, HUNTINGDON VALLEY, PA 19006-4258
(215) 967-1049
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
04/13/2015
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