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NPI Code Detail

MEDICARE: LAWRENCE COUNTY MRI & DIAGNOSTIC IMAGING CENTER, LLC

MEDICARE: LAWRENCE COUNTY MRI & DIAGNOSTIC IMAGING CENTER, 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
12085B0100XBody Imaging Physician
22085N0700XNeuroradiology Physician
32085N0904XNuclear Radiology Physician
42085R0204XVascular & Interventional Radiology Physician
52085U0001XDiagnostic Ultrasound Physician
62085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1487889358
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWRENCE COUNTY MRI & DIAGNOSTIC IMAGING CENTER, LLC
Provider Business Mailing Address
First Line : PO BOX 60
Second Line :
City : PITTSBURGH
State : PA
Zip : 15230-0060
Country : US
Telephone Number : 412-937-5726
Fax Number : 412-937-5706
Provider Business Practice Location Address
First Line : 2526 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-1644
Country : US
Telephone Number : 724-658-1800
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : RICHARD A PICA JR.
Credential : MD
Telephone Number : 724-935-6310
Provider Enumeration Date : 05/21/2009
Last Update Date : 05/21/2009

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