Organization
LEBANON DIAGNOSTIC IMAGING, LLC
Active
Other names
Lebanon Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
TONI COOPER (AM)
(754) 206-6198
Entity
Organization
Contact information
Practice address
462 GATEWAY AVE, CHAMBERSBURG, PA 17201-7351
(717) 263-4999
(717) 263-5522
Mailing address
960 ISABEL DRIVE, LEBANON, PA 17042-7482
(717) 306-4400
(717) 306-4442
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101204607
—
PA
Enumeration date
06/23/2005
Last updated
07/29/2022
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