Organization
TRI-STATE MOBILE X-RAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE A MURSCH (GENERAL MANAGER)
(412) 881-9333
Entity
Organization
Contact information
Practice address
4684 CLAIRTON BLVD, PITTSBURGH, PA 15236-2114
(412) 881-9333
(412) 881-3522
Mailing address
4684 CLAIRTON BLVD, PITTSBURGH, PA 15236-2114
(412) 881-9333
(412) 881-3522
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008535090002
—
PA
01
—
0027846
AETNA
PA
01
—
14969
ELDERCARE
PA
01
—
310954
HIGHMARK
PA
05
—
66071
—
PA
Enumeration date
07/14/2005
Last updated
06/16/2008
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