Source Diagnostics of Pennsylvania, LLC
NPI #1053619775 in Hermitage, Pennsylvania
Provider Information
- NPI Number
- 1053619775
- Entity Type
- Organization
- Organization Name
- Source Diagnostics of Pennsylvania, LLC
- Primary Specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Enumeration Date
- Mar 3, 2011
- Last Updated
- Apr 12, 2012
Practice Location
- Address
- 175 SNYDER RD
- City
- Hermitage
- State
- Pennsylvania
- ZIP Code
- 16148-3431
- Phone
- (440) 645-7822
Authorized Official
- Name
- MS. KATHLEEN ANN BARRY
- Title
- C.O.O.
- Phone
- (440) 645-7822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
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