Organization
DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC
Active
Other names
Advanced Imaging Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI M BODNAR R.C.C. (BILLING SUPERVISOR)
(570) 504-2519
Entity
Organization
Contact information
Practice address
1789 N KEYSER AVE, SCRANTON, PA 18508-1250
(570) 504-2500
(570) 504-2599
Mailing address
1000 MEADE ST, DUNMORE, PA 18512
(570) 504-2519
(570) 504-2599
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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