Organization
NORTHAMPTON IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPLAIN J SPLAIN DO (PARTNER)
(610) 663-3441
Entity
Organization
Contact information
Practice address
602 E 21ST ST, SUITE 401, NORTHAMPTON, PA 18067-1259
(610) 262-6622
(610) 262-6432
Mailing address
421 W CHEW ST, PHYSICIAN ACCOUNTS, ALLENTOWN, PA 18102-3406
(610) 663-3441
(610) 663-3170
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017514500004
—
PA
01
—
0040634000
IBC
—
01
—
03161600
CBC GROUP NUMBER
PA
01
—
1520160
GATEWAY HEALTH PLAN
—
01
—
20021128
AMERIHEALTH MERCY
—
01
—
475764
HIGHMARK BS GROUP NUMBER
PA
01
—
CC7763
RR MEDICARE #
—
Enumeration date
03/29/2006
Last updated
08/17/2010
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