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Centerville Clinics, Inc.
Mammography Radiologic Technologist in Fredericktown, Pennsylvania
NPI 1568566867

Centerville Clinics, Inc. is a Mammography Radiologic Technologist based in Fredericktown, PA and is specialized in Mammography. Centerville Clinics, Inc. practices in Fredericktown, PA. The NPI Number for Centerville Clinics, Inc. is 1568566867 and holds a License No. 1501927 (Pennsylvania).

The current practice location address for Centerville Clinics, Inc. is 1070 Old National Pike, Fredericktown, PA and can be reached out via phone at 724-632-6801 and via fax at 724-632-6312.

Location: 1070 Old National Pike, Fredericktown, PA, 15333-2114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568566867
Provider Name
Centerville Clinics, Inc.
Credential
Provider Entity Type
Organization
Address
1070 Old National Pike, Fredericktown, PA, 15333-2114
Phone Number
724-632-6801
Fax Number
724-632-6312
Provider Enumeration Date
09/08/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2157508 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1070 Old National Pike
City
Fredericktown
State
Pennsylvania
Zip
15333-2114
Phone Number
724-632-6801
Fax Number
724-632-6312
person
Provider Business Mailing Address Details
Address
1070 Old National Pike
City
Fredericktown
State
Pennsylvania
Zip
15333-2114
Phone Number
724-632-6801
Fax Number
724-632-6312
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
105916 (Pennsylvania)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Mammography
Taxonomy
2471M2300X
License No.
1501927 (Pennsylvania)
Definition
Definition to come...
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