National Provider Identifier Database

JEFFERSON REGIONAL PET SCANNING GP
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

JEFFERSON REGIONAL PET SCANNING GP
1200 BROOKS LANE
STE G50
CLAIRTON, PA15025
Phone: 412-469-8308
Fax: 412-469-8309
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for JEFFERSON REGIONAL PET SCANNING GP

NPI Number 1841254646
Legal business name
LBN
JEFFERSON REGIONAL PET SCANNING GP
Authorized official AL RAGAN - (TREASURER)
Entity Organization
Organization subpart No
Enumeration date 04/17/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: PA0899
  • PA Other: 800468 FED BLACK LUNG
  • PA Other: 188642 HEALTH AMERICA ASSURANCE
  • PA Other: 1387329 HIGHMARK
  • PA Other: 135445 UNISON
  • PA Other: 410453 UPMC

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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