Organization
NORTHEAST IMAGING CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE GALAT (ACCOUNTANT)
(570) 586-2091
Entity
Organization
Contact information
Practice address
638 FAIRVIEW RD, CLARKS SUMMIT, PA 18411-8955
(570) 281-1315
(570) 281-1256
Mailing address
PO BOX 517, CARBONDALE, PA 18407-0517
(570) 281-1287
(570) 281-1256
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1395140
—
PA
Enumeration date
08/22/2006
Last updated
09/11/2025
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