Organization
SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN ANN BARRY (C.O.O.)
(440) 645-7822
Entity
Organization
Contact information
Practice address
175 SNYDER RD, HERMITAGE, PA 16148-3431
(440) 645-7822
(440) 542-9482
Mailing address
5275 NAIMAN PKWY, SUITE E, SOLON, OH 44139-1029
(440) 645-7822
(440) 542-9482
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
04/12/2012
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