Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lodespoto Medical of PA PLLC

Organization Neuroradiology Physician · NPI 1164962148

Lodespoto Medical of PA PLLC provides Neuroradiology Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 Market Street 12th Fl East Tower
Philadelphia, PA 19102-2152
Phone: (484) 282-7650
Fax: (888) 972-3585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence MD447488 (PA)

Record details

NPI number1164962148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Lodespoto — Owner · (484) 282-7650
Other names Lodespoto Medical Pllc
NPI enumeratedFebruary 24, 2017
Last updated in NPPESOctober 25, 2017
Mailing addressPo Box 958, Port Jefferson Station, NY 11776-0811

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