Provider Demographics
NPI:1720700537
Name:DLP IMAGING INC
Entity Type:Organization
Organization Name:DLP IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEPPER
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-907-7363
Mailing Address - Street 1:1951 SOUTHCREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-7252
Mailing Address - Country:US
Mailing Address - Phone:202-907-7363
Mailing Address - Fax:
Practice Address - Street 1:1951 SOUTHCREEK BLVD
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-7252
Practice Address - Country:US
Practice Address - Phone:202-907-7363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile