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DIAGNOSTIC IMAGING CENTERS OF NEPA LLC NPI 1366699829


NPI Information

NPI: 1366699829
Provider Name: DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC

Doing Business As: ADVANCED IMAGING SPECIALISTS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 39D2019770

Address:
102 N ABINGTON RD
CLARKS GREEN, PA
ZIP 18411
Phone: (570) 504-2519
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DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC is a diagnostic radiology radiology in Clarks Green, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC NPI is 1366699829. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Imaging Specialists.

The provider's business location address is:

102 N ABINGTON RD
CLARKS GREEN, PA
ZIP 18411-300
Phone: (570) 504-2519
Fax: (570) 504-2599

The provider's authorized official is Lori M Bodnar .
The authorized official title is Billing Supervisor and has the following contact phone number (570) 504-2500.

The CLIA number assigned to this NPI record is 39D2019770 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2008 and was last updated on 8/26/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

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: 5/5/2024

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