# LEBANON MRI ASSOCIATES, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GSH Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912940651
- **Authorized official:** MR. ROBERT J RICHARDS (TREASURER)
- **Authorized official phone:** (717) 270-7806

## Contact information

- **Practice address:** 4TH AND WALNUT STREETS, LEBANON, PA 17042
- **Practice address phone:** (717) 270-4580
- **Practice address fax:** (717) 270-4584
- **Mailing address:** PO BOX 1336, LEBANON, PA 17042-1336
- **Mailing address phone:** (717) 270-4580
- **Mailing address fax:** (717) 270-4584

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01051013 | AETNA | PA |
| 01 | — | 02389100 | KEYSTONE HEALTH PLAN CENT | PA |
| 01 | — | 1408819 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 1512966 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 305445 | HEALTH AMER HEALTH ASSURA | PA |