Source Diagnostics of Pennsylvania, LLC
NPI #1346507019 in Hermitage, Pennsylvania
Provider Information
- NPI Number
- 1346507019
- Entity Type
- Organization
- Organization Name
- Source Diagnostics of Pennsylvania, LLC
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- Apr 18, 2012
- Last Updated
- Apr 18, 2012
Practice Location
- Address
- 175 SNYDER RD
- City
- Hermitage
- State
- Pennsylvania
- ZIP Code
- 16148-3431
- Phone
- (866) 512-1515
Authorized Official
- Name
- KATHLEEN A BARRY
- Title
- COO
- Phone
- (440) 645-7822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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