Healthcare Provider Details

I. General information

NPI: 1487889358
Provider Name (Legal Business Name): LAWRENCE COUNTY MRI & DIAGNOSTIC IMAGING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 05/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2526 WILMINGTON RD
NEW CASTLE PA
16105-1644
US

IV. Provider business mailing address

PO BOX 60
PITTSBURGH PA
15230-0060
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-1800
  • Fax:
Mailing address:
  • Phone: 412-937-5726
  • Fax: 412-937-5706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD A PICA JR.
Title or Position: OFFICER
Credential: MD
Phone: 724-935-6310