Organization
LACKAWANNA MOBILE X-RAY, INC.
Active
Organization
LACKAWANNA MOBILE X-RAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WOELKERS (PRESIDENT)
(570) 346-5115
Entity
Organization
Contact information
Practice address
1229 MONROE AVE, DUNMORE, PA 18509-2807
(800) 789-7082
(800) 801-7684
Mailing address
1229 MONROE AVE, DUNMORE, PA 18509-2807
(800) 789-7082
(800) 801-7684
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010364100002
—
PA
01
—
0526476
AETNA
PA
01
—
2771012000
AMERIHEALTH
PA
01
—
300004695
PALMETTO MEDICARE
PA
01
—
50002829
CAPITAL BLUE CROSS
PA
Enumeration date
09/14/2007
Last updated
05/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up