Organization
JRMC DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL RAGAN (TREASURER)
(412) 205-6095
Entity
Organization
Contact information
Practice address
1200 BROOKS LN, SUITE G60, CLAIRTON, PA 15025-3747
(412) 469-8952
(412) 469-8957
Mailing address
1200 BROOKS LN, SUITE G60, CLAIRTON, PA 15025-3747
(412) 469-8952
(412) 469-8957
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
373036801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013056
GATEWAY CARDIOLOGY
PA
01
—
1040021
GATEWAY RADIOLOGY
PA
01
—
149313
UNISON
PA
01
—
1553170
HIGHMARK
—
01
—
2116525
FIRST HEALTH
PA
01
—
233963
HEALTH AMERICA
PA
01
—
AETNA
3481040
—
Enumeration date
04/12/2006
Last updated
04/17/2009
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