Organization
RADIOLOGIC CONSULTANTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON B NEWCOMER JR. (PRACTICE ADMIN)
(724) 226-4510
Entity
Organization
Contact information
Practice address
835 HOSPITAL RD, INDIANA, PA 15701-3629
(724) 357-7125
(724) 357-7482
Mailing address
7 ACEE DRIVE, NATRONA HEIGHTS, PA 15065
(800) 223-5544
(724) 294-3206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007167980009
MEDICAL ASSISTANCE
—
05
—
0007167980009
—
PA
01
—
0156752
UMWA
—
01
—
023164
GROUP BS
—
01
—
1500608
GATEWAY
—
01
—
263623
BLACK LUNG
—
01
—
45059
HEALTH AMERICA
—
01
—
CN0798
RR MEDICARE
—
Enumeration date
06/07/2006
Last updated
11/14/2007
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