Organization
VALLEY OPEN MRI AND DIAGNOSTIC CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DREVENIK (DIRECTOR PRACTICE OPERATIONS)
(570) 283-0205
Entity
Organization
Contact information
Practice address
451 3RD AVE, KINGSTON, PA 18704-5802
(570) 283-0528
(570) 283-0199
Mailing address
451 3RD AVE, KINGSTON, PA 18704-5802
(570) 283-0528
(570) 283-0199
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1707659
—
PA
Enumeration date
09/12/2005
Last updated
08/22/2020
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