1871533141 NPI number — ARMSTRONG OUTPATIENT IMAGING LLC

Table of content: (NPI 1871533141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871533141 NPI number — ARMSTRONG OUTPATIENT IMAGING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARMSTRONG OUTPATIENT IMAGING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871533141
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7 ACEE DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NATRONA HEIGHTS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15065
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-223-5544
Provider Business Mailing Address Fax Number:
724-294-3206

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
87 GLADE DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KITTANNING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-543-8787
Provider Business Practice Location Address Fax Number:
724-543-8707
Provider Enumeration Date:
06/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KEELING
Authorized Official First Name:
GARY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE ADMIN
Authorized Official Telephone Number:
724-935-6246

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1534511 . This is a "GATEWAY GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 322759 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: AR1459548 . This is a "BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 144362 . This is a "3 RIVERS GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0019496400002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2344976 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5447 . This is a "MISYS FAST CLAIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00056692 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3331983 . This is a "AETNA PROVIDER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1534511 . This is a "GATEWAY MEDICARE ASSURED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 227513 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2463 . This is a "RAYTEL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7926539 . This is a "AETNA REFERRAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0019496400002 . This is a "MEDICAL ASSISTANCE GROUP" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com