Organization
VALLEY ADVANCED IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J STUPPINO (CEO OWNER)
(610) 865-4738
Entity
Organization
Contact information
Practice address
2403 BUTLER STREET, EASTON, PA 18042
(610) 258-1200
(610) 258-1106
Mailing address
2403 BUTLER STREET, EASTON, PA 18042
(610) 258-1200
(610) 258-1106
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
3054015
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001339666
INDEPENDENCE BLUE CROSS P
—
01
—
002104142
UNITED HEALTHCARE
—
05
—
01887332
—
PA
01
—
02986400
CAPITAL ADVANTAGE INSURAN
—
01
—
118732
THREE RIVERS HEALTH PLANS
—
01
—
2035663000
INDEPENDENCE BLUE CROSS H
—
01
—
2572590
AETNA US HEALTHCARE HMO
—
01
—
7633253
AETNA US HEALTHCARE TRADI
—
01
—
P00110029
RAILROAD MEDICARE
PA
01
—
VA1339666
PA BLUE SHIELD
—
Enumeration date
05/12/2006
Last updated
05/15/2008
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