Lackawanna X-Ray, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

LACKAWANNA X-RAY, LLC

Practice address

1229 Monroe Ave
Dunmore, PA 18509-2807

Phone

(570) 346-8809

Fax

(570) 346-5121

NPI assigned

Nov 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul C Woelkers, R.T.

Title

President

Phone

(570) 346-8809

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1457652687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MONROE AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092807",
            "telephone_number": "570-346-8809",
            "fax_number": "570-346-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MONROE AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092807",
            "telephone_number": "570-346-8809",
            "fax_number": "570-346-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWANNA X-RAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "WOELKERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-346-8809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Kravitz, PA
• Amy L Kreckman, MSW, LSW
• Emily Kuchwara, MS, LAPC, NCC, CADC
• Lackawanna Mobile X-Ray Inc
• Lackawanna Mobile X-Ray, Inc.
• Lisa Ann Lanteigne-Kornetka, LMSW
• Laporta and Associates,PC
• Guido A Laporta, DPM
• Joel J Laury, M.D.
• Salvatore Anthony Lawrence, MD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.