NPI 1053619775

Source Diagnostics of Pennsylvania, LLC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Hermitage, PA

Practice location

Address: 175 Snyder Rd, Hermitage, PA 16148-3431
Phone: (440) 645-7822
Fax: (440) 542-9482
Mailing address: 5275 Naiman Pkwy Suite E, Solon, OH 44139-1029

Authorised official

Name: Kathleen Ann Barry
Title: C.O.O.
Phone: (440) 645-7822

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X

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Registry record

NPI: 1053619775
Entity type: Organization
NPI issued: 3 Mar 2011
Record last updated: 12 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.