Organization
ALLEGHENY IMAGING INSTITUTE, INC
Active
Other names
kennedy medical imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LEO BEISLER (PRESIDENT/CEO)
(412) 929-1336
Entity
Organization
Contact information
Practice address
1800 PINE HOLLOW RD, KENNEDY MEDICAL ARTS BUILDING, KENNEDY TOWNSHIP, PA 15136
(412) 331-3477
(412) 331-7233
Mailing address
P.O. BOX 952468, LAKE MARY, FL 32795-2468
(407) 929-1336
(407) 333-2505
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001842760000002
—
PA
05
—
184276000002
—
PA
01
—
698183
BLUE SHIELD
PA
01
—
698183
HIGHMARK BCBS
—
Enumeration date
07/22/2006
Last updated
02/23/2010
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