Healthcare Provider Details

I. General information

NPI: 1063478097
Provider Name (Legal Business Name): REGIONAL IMAGING ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 E STATE ST SHARON REGIONAL HEALTH SYSTEM
SHARON PA
16146
US

IV. Provider business mailing address

32 JEFFERSON AVE SUITE 109
SHARON PA
16146
US

V. Phone/Fax

Practice location:
  • Phone: 724-981-6732
  • Fax: 724-981-2719
Mailing address:
  • Phone: 724-981-6732
  • Fax: 724-981-2719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIANNE B RAMSEY
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 724-981-6732