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NPI Code Detail

MEDICARE: VISION IMAGING OF LEBANON LLC

MEDICARE: VISION IMAGING OF LEBANON LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1285689513
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION IMAGING OF LEBANON LLC
Provider Business Mailing Address
First Line : 415 N MAIN ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-4411
Country : US
Telephone Number : 570-208-5571
Fax Number :
Provider Business Practice Location Address
First Line : 805 HELEN DR
Second Line :
City : LEBANON
State : PA
Zip : 17042-7493
Country : US
Telephone Number : 800-298-1558
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STEVEN RINEHOUSE
Credential : MD
Telephone Number : 717-228-2600
Provider Enumeration Date : 05/24/2006
Last Update Date : 10/18/2007

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Directions to “VISION IMAGING OF LEBANON LLC ” Practice Location

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