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Contact Information

WILKES BARRE IMAGING, LLC
146 MUNDY STREET
WILKES-BARRE, PA18702
 Phone: 570-824-9242
 Fax: 570-824-2242
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for WILKES BARRE IMAGING LLC · (Female)

NPI Number 1871559310
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2006
Last updated 06/01/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 001805918-0002
  • PA Other 470001718 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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