Organization
IMAGING PROFESSIONALS OF PENNSYLVANIA PC
Active
Parent organization
IMAGING PROFESSIONALS OF PENNSYLVANIA PC
Other names
Springfield Diagnostic Imaging Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMAGING PROFESSIONALS OF PENNSYLVANIA PC
Authorized official
DAVID L BLOOM (MD)
(973) 707-1100
Entity
Organization
Contact information
Practice address
891 BALTIMORE PIKE, SPRINGFIELD, PA 19064-3954
(888) 440-6494
(330) 759-1501
Mailing address
1430 SPRING HILL RD, SUITE 500, MC LEAN, VA 22102-3000
(973) 707-1100
(973) 707-1127
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011008510019
—
PA
Enumeration date
08/31/2005
Last updated
07/21/2022
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