Organization
OLD TRAIL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA THOMS (OPERATIONS MANAGER)
(570) 374-4411
Entity
Organization
Contact information
Practice address
21 SUSQUEHANNA VALLEY MALL DRIVE, SELINSGROVE, PA 17870-8409
(570) 374-4411
Mailing address
21 SUSQUEHANNA VALLEY MALL DRIVE, SELINSGROVE, PA 17870-8409
(570) 374-4411
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us