Organization
USDL PITTSBURGH, INC.
Active
Other names
Centre Commons MRI & CT
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIE ROBERTSON (PRESIDENT AND CEO)
(813) 323-2594
Entity
Organization
Contact information
Practice address
5750 CENTRE AVE, PITTSBURGH, PA 15206-3761
(412) 661-6861
(412) 661-6870
Mailing address
23110 STATE RD 54, PMB 292, LUTZ, FL 33549-4566
(352) 578-2055
(813) 971-0818
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012458120001
—
PA
01
—
P00056706
RAILROAD MEDICARE
PA
Enumeration date
12/28/2005
Last updated
10/28/2021
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