Organization
NORTHSTAR IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G LECKIE MD (TREASURER)
(775) 813-8054
Entity
Organization
Contact information
Practice address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3247
(775) 623-5222
Mailing address
PO BOX 32936, KNOXVILLE, TN 37930-2936
(877) 905-6553
(608) 788-8799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500055
—
NV
01
—
300075919
RAILROAD MEDICARE
NV
01
—
DB5649
RAILROAD MEDICARE
UT
Enumeration date
10/26/2006
Last updated
07/18/2014
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