Lackawanna Mobile X-Ray, Inc.

LBN: Lackawanna Mobile X-Ray, Inc.
Lackawanna Mobile X-Ray, Inc. is an health care organization with primary practice located at 1229 Monroe Ave , Dunmore PA 18509-2807. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Lackawanna Mobile X-Ray, Inc. can be contacted via phone (800) 789-7082, or through Woelkers, Paul via phone (570) 346-5115.

Contact Information

Primary practice address
1229 Monroe Ave Dunmore PA 18509-2807
Phone: (800) 789-7082
Fax: (800) 801-7684
Website:
Map and Directions
Authorized official contact:
Name: Woelkers, Paul
Phone: (570) 346-5115

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Pennsylvania

Profile Details

NPI number 1063607893
LBN Legal business name Lackawanna Mobile X-Ray, Inc.
DBA Doing business as
Authorized official Woelkers, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2007
Last updated May 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063607893 NPPES
Pennsylvania Other 0526476 AETNA
Pennsylvania Other 2771012000 AETNA
Pennsylvania Other 300004695 AETNA
Pennsylvania Other 2771012000 AETNA
Pennsylvania MEDICAID 0010364100002 AETNA
Pennsylvania Other 2771012000 AETNA
Pennsylvania Other 2771012000 AETNA
Pennsylvania Other 50002829 AETNA

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