# LACKAWANNA MOBILE X-RAY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063607893
- **Authorized official:** MR. PAUL WOELKERS (PRESIDENT)
- **Authorized official phone:** (570) 346-5115

## Contact information

- **Practice address:** 1229 MONROE AVE, DUNMORE, PA 18509-2807
- **Practice address phone:** (800) 789-7082
- **Practice address fax:** (800) 801-7684
- **Mailing address:** 1229 MONROE AVE, DUNMORE, PA 18509-2807
- **Mailing address phone:** (800) 789-7082
- **Mailing address fax:** (800) 801-7684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | PA | Yes |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 05/09/2008