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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

NPI # 1871559310
LBN Legal business name WILKES BARRE IMAGING, LLC
Authorized official LAURA KASSA - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2006
Last updated 06/01/2017 - About 9 years ago
Identifiers
PA Medicaid 001805918-0002
PA Other 470001718 RAILROAD MEDICARE
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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