Physicians Imaging Associates, PC
Organization Active NPI Diagnostic Radiology Physician · Bloomsburg, PA
NPI 1013917699 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013917699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- OS006360L (PA)
- Legal business name
- PHYSICIANS IMAGING ASSOCIATES, PC
- Practice address
- 549 Fair St
Bloomsburg, PA 17815-1419 - Phone
- (570) 387-2100
- NPI assigned
- Jul 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Mark Vanblargan, MD
- Title
- Director/Owner
- Phone
- (570) 387-2100
Practitioners 5
-
Antonio Buendia, MD
-
Lanny Chuang, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | OS006360L | PA | Yes |
Addresses
Primary practice location
549 Fair St
Bloomsburg, PA 17815-1419
Mailing address
549 Fair St
Bloomsburg, PA 17815-1419
Phone (570) 387-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01760137 | Medicaid | PA |
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- Kelly Phillips
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- Physician Imaging Associates
- Kellie E Pizzuto
- Plus 1 RX, LLC
- Paul M Polner
- Matthew James Popalis
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All providers in Bloomsburg, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.