Organization
LAUREL HIGHLANDS ADVANCED IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH W HUGHES (BILLING MANAGER)
(814) 539-5987
Entity
Organization
Contact information
Practice address
1450 SCALP AVE, SUITE 001, JOHNSTOWN, PA 15904-3374
(814) 539-5987
(814) 535-4176
Mailing address
239 MAIN ST, SUITE 400, JOHNSTOWN, PA 15901-1640
(814) 539-5987
(814) 535-4176
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001834160
—
PA
Enumeration date
01/17/2007
Last updated
01/09/2012
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