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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 Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for JEFFERSON REGIONAL PET SCANNING GP

NPI # 1841254646
LBN Legal business name JEFFERSON REGIONAL PET SCANNING GP
Authorized official AL RAGAN - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2006
Last updated 08/22/2020 - About 6 years ago
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 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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