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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 Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for EXCELA RCL PET CT IMAGING LLC

NPI Number 1144260415
LBN Legal business name EXCELA RCL PET CT IMAGING LLC
Authorized official RICHARD CARUSO - (SECRETARY TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA Medicaid 1014980410001
Other 9867791 CIGNA
Other 1548932 GATEWAY
Other 1014980410001 MEDICAL ASSISTANCE
Other 5447LA MISYS FAST CLAIM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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