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NPI Code Detail

MEDICARE: PEDIATRIC IMAGING ASSOCIATES, LLC

MEDICARE: PEDIATRIC IMAGING ASSOCIATES, 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
1174400000XSpecialist

General Provider Information

NPI Number : 1205838497
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC IMAGING ASSOCIATES, LLC
Provider Business Mailing Address
First Line : PO BOX 49
Second Line :
City : PITTSBURGH
State : PA
Zip : 15230-0049
Country : US
Telephone Number : 412-937-5949
Fax Number : 412-937-5705
Provider Business Practice Location Address
First Line : 500 GYPSY LN
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1315
Country : US
Telephone Number : 330-884-3374
Fax Number : 330-884-5789
Authorized Official
Title or Position : PRESIDENT
Name : MARSHA J STEIN
Credential : MD
Telephone Number : 330-884-3374
Provider Enumeration Date : 06/01/2005
Last Update Date : 08/22/2020

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