Organization
TRI-STATE CARDIOVASCULAR IMAGING ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TITAYEVSKY (PRESIDENT)
(215) 842-0870
Entity
Organization
Contact information
Practice address
3502 SCOTTS LN, SUITE 2, PHILADELPHIA, PA 19129-1561
(215) 842-0870
(215) 974-7466
Mailing address
3502 SCOTTS LN, SUITE 2, PHILADELPHIA, PA 19129-1561
(215) 842-0870
(215) 974-7466
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
PA-1134
PA
Other
Enumeration date
12/21/2008
Last updated
12/21/2008
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