Organization
LEBANON MRI ASSOCIATES, LTD
Active
Other names
GSH Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J RICHARDS (TREASURER)
(717) 270-7806
Entity
Organization
Contact information
Practice address
4TH AND WALNUT STREETS, LEBANON, PA 17042
(717) 270-4580
(717) 270-4584
Mailing address
PO BOX 1336, LEBANON, PA 17042-1336
(717) 270-4580
(717) 270-4584
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01051013
AETNA
PA
01
—
02389100
KEYSTONE HEALTH PLAN CENT
PA
01
—
1408819
HIGHMARK BLUE SHIELD
PA
01
—
1512966
GATEWAY HEALTH PLAN
PA
01
—
305445
HEALTH AMER HEALTH ASSURA
PA
Enumeration date
06/13/2006
Last updated
08/22/2020
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