National Provider Identifier Database

MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC
Radiology


Contact Information

MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC
3824 NORTHERN PIKE
MONROEVILLE, PA15146
Phone: 412-373-6342
Fax: 412-373-6347
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC

NPI Number 1770622870
Legal business name
LBN
MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC
Authorized official DANA WARDLOW - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/05/2007
Last updated 01/28/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1012938680001
  • Other: 7593730 AETNA
  • Other: 1547029 GATEWAY
  • Other: 001736377 HIGHMARK
  • Other: P00271297 RAILROAD MEDICARE

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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