Jennersville Radiology, P.C

LBN: Jennersville Radiology, P.C
Jennersville Radiology, P.C is an health care organization with primary practice located at 1015 W Baltimore Pike , West Grove PA 19390-9459. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Jennersville Radiology, P.C can be contacted via phone (610) 372-4957, or through Carmellini, Tracy via phone (610) 372-4957.

Contact Information

Primary practice address
1015 W Baltimore Pike West Grove PA 19390-9459
Phone: (610) 372-4957
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carmellini, Tracy Doctor of Medicine (MD)
Phone: (610) 372-4957

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Pennsylvania

Profile Details

NPI number 1346240256
LBN Legal business name Jennersville Radiology, P.C
DBA Doing business as
Authorized official Carmellini, Tracy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 21st, 2022 - about 2 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 1346240256 NPPES
Pennsylvania MEDICAID 0019412210001

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