National Provider Identifier Database

EXCELA RCL PET CT IMAGING LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

EXCELA RCL PET CT IMAGING LLC
2000 VILLAGE DRIVE
GREENSBURG, PA15601
Phone: 724-836-0637
Fax: 724-836-0641
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for EXCELA RCL PET CT IMAGING LLC

NPI Number 1144260415
Legal business name
LBN
EXCELA RCL PET CT IMAGING LLC
Authorized official RICHARD CARUSO - (SECRETARY TREASURER)
Entity Organization
Organization subpart No
Enumeration date 06/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1014980410001
  • Other: 9867791 CIGNA
  • Other: 1548932 GATEWAY
  • Other: 1014980410001 MEDICAL ASSISTANCE
  • Other: 5447LA MISYS FAST CLAIM

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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