Healthcare Provider Details

I. General information

NPI: 1518910199
Provider Name (Legal Business Name): WEST MIFFLIN IMAGING ASSOCIATES LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 LEBANON CHURCH RD
WEST MIFFLIN PA
15122-2456
US

IV. Provider business mailing address

1113 LOWRY AVE
JEANNETTE PA
15644-3071
US

V. Phone/Fax

Practice location:
  • Phone: 412-650-7830
  • Fax: 412-650-7831
Mailing address:
  • Phone: 724-527-2845
  • Fax: 724-527-6490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RAYMOND A COMUNALE
Title or Position: GENERAL PARTNER
Credential:
Phone: 412-551-7829