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NPI Code Detail

MEDICARE: LIBERTY PORTABLE X-RAY & DIAGNOSTIC SOLUTIONS LLC

MEDICARE: LIBERTY PORTABLE X-RAY & DIAGNOSTIC SOLUTIONS 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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number : 1710426622
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIBERTY PORTABLE X-RAY & DIAGNOSTIC SOLUTIONS LLC
Provider Business Mailing Address
First Line : 955 BROADWAY
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1733
Country : US
Telephone Number : 717-607-1700
Fax Number : 717-607-1710
Provider Business Practice Location Address
First Line : 1510 CHESTER PIKE
Second Line : BALDWIN TOWER, 7TH FLOOR
City : EDDYSTONE
State : PA
Zip : 19022-1375
Country : US
Telephone Number : 717-607-1700
Fax Number : 717-607-1710
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : DANIELLE PHILIPPS
Credential :
Telephone Number : 717-607-1700
Provider Enumeration Date : 02/13/2017
Last Update Date : 01/28/2024

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Directions to “LIBERTY PORTABLE X-RAY & DIAGNOSTIC SOLUTIONS LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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