# SHENANGO VALLEY IMAGING ASSOCIATES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811968324
- **Authorized official:** MR. JACE D KELLER (TREASURER)
- **Authorized official phone:** (724) 925-2280

## Contact information

- **Practice address:** 875 N HERMITAGE RD, HERMITAGE, PA 16148-3278
- **Practice address phone:** (724) 342-2554
- **Practice address fax:** (724) 342-2555
- **Mailing address:** PO BOX 450, NEW STANTON, PA 15672-0450
- **Mailing address phone:** (724) 925-2330
- **Mailing address fax:** (724) 925-7816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | N/A | — | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1013686280001 | — | PA |
| 01 | — | 1753311 | HIGHMARK BCBS | PA |