Organization
OPEN MRI OF ALLENTOWN LLC
Active
Other names
Open Air MRI of Allentown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GALAZIN (CEO)
(610) 774-0170
Entity
Organization
Contact information
Practice address
1146 S CEDAR CREST BLVD, SUITE 102, ALLENTOWN, PA 18103-7938
(610) 774-0170
(610) 774-0173
Mailing address
1146 S CEDAR CREST BLVD, SUITE 102, ALLENTOWN, PA 18103-7938
(610) 774-0170
(610) 774-0173
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1741347
—
PA
01
—
CI2747
RAILROAD MEDICARE
PA
Enumeration date
07/13/2006
Last updated
05/10/2013
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