NPI 1992784375

Diagnostic Medical Imaging Enterprises, LTD

Organisation Physiological Laboratory Northampton, PA

Practice location

Address: 3330 Pheasant Dr, Northampton, PA 18067-9614
Phone: (610) 261-4898
Fax: (610) 261-4899

Authorised official

Name: Alex B Bodenstab
Title: Medical Director
Phone: (610) 261-4898

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence MD037186E (PA)

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Registry record

NPI: 1992784375
Entity type: Organization
NPI issued: 12 Jan 2006
Record last updated: 5 May 2008

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.