Organization
DIAGNOSTIC IMAGING CENTERS OF NEPA LLC
Active
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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