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 (570) 344-1112, or through Woelkers, Paul via phone (570) 344-1112.

Contact Information

Primary practice address
1229 Monroe Ave Dunmore PA 18509-2807
Fax: (570) 344-7807
Website:
Authorized official contact:
Name: Woelkers, Paul

Health care specialties

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

Profile Details

NPI number 1497702609
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 May 31st, 2006
Last updated Jan 7th, 2014 - about 10 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 1497702609 NPPES
Pennsylvania Other 300004695 PALMETTO MEDICARE
Pennsylvania Other 0526476 PALMETTO MEDICARE
Pennsylvania MEDICAID 0010364100001 PALMETTO MEDICARE
Pennsylvania Other 069499 PALMETTO MEDICARE
Pennsylvania Other 42654 3232 PALMETTO MEDICARE

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