Organization
WILKES BARRE IMAGING, LLC
Active
Other names
Wilkes Barre Imaging Center, Akumin
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (VP OF OPERATIONS)
(800) 730-0050
Entity
Organization
Contact information
Practice address
146 MUNDY STREET, WILKES BARRE, PA 18702
(570) 824-9242
(570) 824-2242
Mailing address
101 GREENWOOD AVENUE, SUITE 150, JENKINTOWN, PA 19046-2624
(215) 379-8458
(215) 379-8461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001805918-0002
—
PA
01
—
470001718
RAILROAD MEDICARE
PA
Enumeration date
04/24/2006
Last updated
06/01/2017
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