Tri County Imaging Assoc. LTD
Organization Active NPI Diagnostic Radiology Physician · Everett, PA
NPI 1083698484 · NPPES record last updated Apr 30, 2014
Key facts
- NPI
- 1083698484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- TRI COUNTY IMAGING ASSOC. LTD
- Practice address
- 10455 Lincoln Hwy
Everett, PA 15537-7046 - Phone
- (814) 444-1918
- Fax
- (814) 444-9782
- NPI assigned
- Nov 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Jackie Watts
- Title
- Office Administrator
- Phone
- (814) 444-1918
National Provider Directory
Locations
1009 Old Route 119
Hunker, PA 15639
Phone (724) 547-5881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
10455 Lincoln Hwy
Everett, PA 15537-7046
Mailing address
PO Box 1198
Somerset, PA 15501-0336
Phone (814) 444-1918
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011325600010 | Medicaid | PA | |
| 526016 | Other | PA | HIGHMARK BLUE SHIELD |
| 106739 | Other | PA | UPMC |
| 1509635 | Medicaid | PA | |
| 000000063834 | Medicaid | PA | |
| 699866600 | Medicaid | MD | |
| 0113399000 | Other | PA | PERSONAL CHOICE |
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All providers in Everett, 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 Apr 30, 2014. 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.