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Organization
MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC
Active
Organization
MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA WARDLOW (PRACTICE ADMINISTRATOR)
(724) 935-6280
Entity
Organization
Contact information
Practice address
3824 NORTHERN PIKE, MONROEVILLE, PA 15146
(412) 373-6342
(412) 373-6347
Mailing address
3824 NORTHERN PIKE, SUITE 200, MONROEVILLE, PA 15146
(412) 457-0060
(412) 457-0067
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001736377
HIGHMARK
—
05
—
1012938680001
—
PA
01
—
1547029
GATEWAY
—
01
—
7593730
AETNA
—
01
—
P00271297
RAILROAD MEDICARE
—
Enumeration date
02/05/2007
Last updated
01/28/2009
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