Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lodespoto Medical of PA PLLC

Organization Neuroradiology Physician · NPI 1164962148

Lodespoto Medical of PA PLLC is a Neuroradiology Physician 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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