Organization
EAST COAST DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA KIPERVAS (OWNER)
(215) 967-1079
Entity
Organization
Contact information
Practice address
2021 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7007
(215) 967-1079
Mailing address
2840 PINE RD, SUITE D1, HUNTINGDON VALLEY, PA 19006-4258
(215) 967-1079
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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