Organization
JEFFERSON REGIONAL PET SCANNING GP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL RAGAN (TREASURER)
(412) 205-6095
Entity
Organization
Contact information
Practice address
1200 BROOKS LANE, STE G50, CLAIRTON, PA 15025
(412) 469-8308
(412) 469-8309
Mailing address
1200 BROOKS LANE, STE G50, CLAIRTON, PA 15025
(412) 469-8308
(412) 469-8309
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
PA0899
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135445
UNISON
PA
01
—
1387329
HIGHMARK
PA
01
—
188642
HEALTH AMERICA ASSURANCE
PA
01
—
410453
UPMC
PA
01
—
800468
FED BLACK LUNG
PA
Enumeration date
04/17/2006
Last updated
08/22/2020
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