Organization
PHYSICIANS IMAGING ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VANBLARGAN MD (DIRECTOR/OWNER)
(570) 387-2100
Entity
Organization
Contact information
Practice address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 387-2100
Mailing address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 387-2100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS006360L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01760137
—
PA
Enumeration date
07/26/2005
Last updated
08/22/2020
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