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LAUREL HIGHLANDS ADVANCED IMAGING LLC NPI 1477605905


NPI Information

NPI: 1477605905
Provider Name: LAUREL HIGHLANDS ADVANCED IMAGING, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1450 SCALP AVE
SUITE 001
JOHNSTOWN, PA
ZIP 15904
Phone: (814) 539-5987
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LAUREL HIGHLANDS ADVANCED IMAGING, LLC is a radiology clinic center in Johnstown, PA. LAUREL HIGHLANDS ADVANCED IMAGING, LLC NPI is 1477605905. The provider is registered as an organization entity type.

The provider's business location address is:

1450 SCALP AVE
SUITE 001
JOHNSTOWN, PA
ZIP 15904-374
Phone: (814) 539-5987
Fax: (814) 535-4176

The provider's authorized official is Kenneth W Hughes .
The authorized official title is Billing Manager and has the following contact phone number (814) 539-5987.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 1/9/2012.


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
1261QR0200XClinic/CenterRadiologyYes

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
1043517MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAPA MEDICARE
20001834160MEDICAIDPENNSYLVANIA

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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