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Organization
LACKAWANNA X-RAY, LLC
Active
Organization
LACKAWANNA X-RAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL C WOELKERS R.T. (PRESIDENT)
(570) 346-8809
Entity
Organization
Contact information
Practice address
1229 MONROE AVE, DUNMORE, PA 18509-2807
(570) 346-8809
(570) 346-5121
Mailing address
1229 MONROE AVE, DUNMORE, PA 18509-2807
(570) 346-8809
(570) 346-5121
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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