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CREST RADIOLOGICAL ASSOCIATES INC. NPI 1003897372


NPI Information

NPI: 1003897372
Provider Name: CREST RADIOLOGICAL ASSOCIATES INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
421 W CHEW ST
DEPARTMENT OF DIAGNOSTIC RADIOLOGY
ALLENTOWN, PA
ZIP 18102
Phone: (610) 776-4822
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CREST RADIOLOGICAL ASSOCIATES INC. is a diagnostic radiology radiology in Allentown, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CREST RADIOLOGICAL ASSOCIATES INC. NPI is 1003897372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

421 W CHEW ST
DEPARTMENT OF DIAGNOSTIC RADIOLOGY
ALLENTOWN, PA
ZIP 18102-406
Phone: (610) 776-4822
Fax: (610) 776-4671

The provider's authorized official is Henry Michael Friess .
The authorized official title is President and has the following contact phone number (610) 776-5325.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 10/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10040604000OTHERIBC
2CI1114OTHERRR MEDICARE GROUP #
3068337MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE GROUP #
4068337OTHERHIGHMARK BLUE SHIELD GROU
502410000OTHERCBC
60006736180002MEDICAIDPENNSYLVANIA
746716OTHERAMERIHEALTH MERCY
81519574OTHERGATEWAY HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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