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

Christian Lacelle Carlson, MD

Individual provider Pediatric Radiology Physician · NPI 1669462958

Christian Lacelle Carlson, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 2002, 24 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Pennsylvania and Utah.

Years since qualifying
24
Licensed in
IN, PA, UT
In the registry since
2005
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (215) 427-5234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 — (801) 662-1800

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD479323 (PA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 11931633-1205 (UT)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence MD479323 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 11931633-1205 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01058718A (IN)

Record details

NPI number1669462958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESJuly 19, 2026
Certification dateAugust 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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