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Contact Information

EXTREMITY IMAGING PARTNERS INC
4500 BROOKTREE RD
STE 100
WEXFORD, PA15090-9289
 Phone: 866-398-7364
 Fax: 866-267-0144
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for EXTREMITY IMAGING PARTNERS INC

NPI # 1528058245
LBN Legal business name EXTREMITY IMAGING PARTNERS INC
Authorized official A JEROME DIGIACOBBE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2005
Last updated 07/08/2009 - About 17 years ago
Identifiers
KS Medicaid 200423690A
OH Medicaid 2273614
PA Medicaid 1009572010001
PA Medicaid 1009572010002
PA Medicaid 1009572010003
PA Medicaid 1009572010004
IN Other 000000340701 ANTHEM BCBS
OH Other 000000340701 ANTHEM BCBS
OH Other 000000378160 ANTHEM BCBS-DAYTON
PA Other 7823651 AETNA
PA Other 258396 HEALTH ASSURANCE
PA Other PA255 ONE CALL MEDICAL
PA Other 300686212 W/C US DEPT OF LABOR OWPC
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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