Organization
DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC
Active
Other names
Advanced Imaging Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI M BODNAR RCC (DIRECTOR OF BILLING/CONTRACTING)
(570) 504-2519
Entity
Organization
Contact information
Practice address
111 HULST DR, STE 708, MATAMORAS, PA 18336-2115
(570) 491-9200
(570) 491-9201
Mailing address
1000 MEADE ST, MEDICAL PLAZA, DUNMORE, PA 18512-3195
(570) 504-2519
(570) 504-2599
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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