NPIMap

Organization Active NPI

Lebanon MRI Associates, LTD

Doing business as GSH Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Lebanon, PA
National Provider Identifier
1912940651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
LEBANON MRI ASSOCIATES, LTD
Doing business as
GSH Imaging Center
Practice address
4TH and Walnut Streets
Lebanon, PA 17042
Phone
(717) 270-4580
Fax
(717) 270-4584
NPI assigned
Jun 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert J Richards
Title
Treasurer
Phone
(717) 270-7806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

4TH and Walnut Streets
Lebanon, PA 17042

Mailing address

PO Box 1336
Lebanon, PA 17042-1336
Phone (717) 270-4580

Other identifiers 6

IdentifierTypeStateIssuer
02389100OtherPAKEYSTONE HEALTH PLAN CENT
1408819OtherPAHIGHMARK BLUE SHIELD
305445OtherPAHEALTH AMER HEALTH ASSURA
01051013OtherPAAETNA
1512966OtherPAGATEWAY HEALTH PLAN
02389100OtherPACAPITAL BLUE CROSS

Other names 1

  • GSH Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

320 Oak St
Lebanon, PA 17042
Phone (717) 270-4580

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912940651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1336",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170421336",
            "telephone_number": "717-270-4580",
            "fax_number": "717-270-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH AND WALNUT STREETS",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-270-4580",
            "fax_number": "717-270-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON MRI ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "717-270-7806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "02389100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1408819",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMER HEALTH ASSURA",
            "identifier": "305445",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "01051013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1512966",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02389100",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GSH Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.