Organization
DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC
Active
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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