National Provider Identifier Database

CENTERVILLE CLINICS INC
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

CENTERVILLE CLINICS, INC.
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA15333-2114
Phone: 724-632-6801
Fax: 724-632-6312
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X
Mammography Radiologic Technologist 2471M2300X

* Indicates primary specialty

NPI Profile & details for CENTERVILLE CLINICS, INC.

NPI Number 1568566867
Legal business name
LBN
CENTERVILLE CLINICS, INC.
Authorized official PATRICIA MARTOS - (DIRECTOR PERSONNEL/FINANCE)
Entity Organization
Organization subpart No
Enumeration date 09/08/2006
Last updated 06/17/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 105916
  • PA License #: 1501927
  • PA Other: 2157508 HIGHMARK BLUE SHIELD

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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