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Organization
ALLEGHENY CLINIC
Active
Organization
ALLEGHENY CLINIC
Active
Other names
Suburban Radiology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE NOEL (DIRECTOR PROVIDER ENROLLMENT)
(412) 330-5861
Entity
Organization
Contact information
Practice address
100 S JACKSON AVE, PITTSBURGH, PA 15202-3428
(412) 734-6015
(412) 731-6830
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
04235-02
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140382
—
PA
Enumeration date
10/27/2010
Last updated
11/06/2020
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