Organization
MICRO DIAGNOSTICS IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ULLO (OWNER)
(570) 689-0400
Entity
Organization
Contact information
Practice address
473 EASTON TURNPIKE, SUITE G, LAKE ARIEL, PA 18436
(570) 689-0400
(570) 689-0600
Mailing address
473 EASTON TURNPIKE, SUITE G, LAKE ARIEL, PA 18436
(570) 689-0400
(570) 689-0600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PA
Other
Enumeration date
08/13/2007
Last updated
07/21/2022
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