Organization
DIAGNOSTIC IMAGING CENTERS OF NEPA LLC
Active
Other names
Advanced Imaging Specialists (AIS)
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI M BODNAR RCC (BILLING SUPERVISOR)
(570) 504-2519
Entity
Organization
Contact information
Practice address
1000 MEADE ST, DUNMORE, PA 18512-3195
(570) 504-2519
(570) 504-2599
Mailing address
1000 MEADE ST, DUNMORE, PA 18512-3195
(570) 504-2519
(570) 504-2599
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
07/23/2008
Last updated
08/25/2008
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