institution
Lackawanna Mobile X-ray, Inc.
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Dunmore, Pennsylvania
NPI 1063607893

Lackawanna Mobile X-ray, Inc. is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Dunmore, PA. Lackawanna Mobile X-ray, Inc. practices in Dunmore, PA. The NPI Number for Lackawanna Mobile X-ray, Inc. is 1063607893 and holds a License No. (Pennsylvania).

The current practice location address for Lackawanna Mobile X-ray, Inc. is 1229 Monroe Ave, Dunmore, PA and can be reached out via phone at 800-789-7082 and via fax at 800-801-7684.

Location: 1229 Monroe Ave, Dunmore, PA, 18509-2807
institution
Provider Profile Details
NPI Number
1063607893
Provider Name
Lackawanna Mobile X-ray, Inc.
Credential
Provider Entity Type
Organization
Address
1229 Monroe Ave, Dunmore, PA, 18509-2807
Phone Number
800-789-7082
Fax Number
800-801-7684
Provider Enumeration Date
09/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0526476 01 PA AETNA
2771012000 01 PA AMERIHEALTH
300004695 01 PA PALMETTO MEDICARE
2771012000 01 PA BLUE CHOICE
0010364100002 05 PA
2771012000 01 PA KEYSTONE 65
2771012000 01 PA PERSONAL CHOICE
50002829 01 PA CAPITAL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1229 Monroe Ave
City
State
Zip
18509-2807
Phone Number
800-789-7082
Fax Number
800-801-7684
person
Provider Business Mailing Address Details
Address
1229 Monroe Ave
City
State
Zip
18509-2807
Phone Number
800-789-7082
Fax Number
800-801-7684
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
License No.
(Pennsylvania)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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