Provider Demographics
NPI:1124068499
Name:RADIOLOGIC CONSULTANTS LTD
Entity type:Organization
Organization Name:RADIOLOGIC CONSULTANTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:B
Authorized Official - Last Name:NEWCOMER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:724-226-4510
Mailing Address - Street 1:7 ACEE DRIVE
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065
Mailing Address - Country:US
Mailing Address - Phone:800-223-5544
Mailing Address - Fax:724-294-3206
Practice Address - Street 1:835 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3629
Practice Address - Country:US
Practice Address - Phone:724-357-7125
Practice Address - Fax:724-357-7482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0156752OtherUMWA
023164OtherGROUP BS
1500608OtherGATEWAY
0007167980009OtherMEDICAL ASSISTANCE
CN0798OtherRR MEDICARE
PA0007167980009Medicaid
45059OtherHEALTH AMERICA
263623OtherBLACK LUNG
263623OtherBLACK LUNG