{"npi":"1417100249","type":"NPI-2","status":"active","name":{"display":"Fulton Diagnostic Radiology LLC","other":[],"organization_name":"FULTON DIAGNOSTIC RADIOLOGY LLC","authorised_official":"Michael Zampelli"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"214 PEACH ORCHARD RD","city":"MC CONNELLSBURG","state":"PA","postal_code":"172338559","country_code":"US","phone":"3017396144"},{"purpose":"MAILING","street_1":"10715 DOWNSVILLE PIKE STE 103","city":"HAGERSTOWN","state":"MD","postal_code":"217407240","country_code":"US","phone":"3017396144","fax":"3017396163"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"DP1754","state":null,"issuer":"MEDICARE RAILROAD"},{"type_code":"05","label":"Medicaid","value":"1022427920001","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090504000327","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"5991853806"},{"enrlmt_id":"O20200424001902","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"5991853806"},{"enrlmt_id":"O20210325001609","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"5991853806"}]},"enumeration_date":"2008-10-24","last_updated":"2020-04-27","_meta":{"source":"NPPES","snapshot_date":"2020-04-27","doc_url":"https://findmynpi.com/api"}}