Southeast Radiology Ltd
Radiology, Diagnostic Radiology in Chester, PA. Organization (NPI-2).
NPI number1790779684
StatusActive
Last updated in NPPESJul 7, 2022
Details
- NPI
- 1790779684
- Entity type
- Organization (NPI-2)
- Legal business name
- Southeast Radiology Ltd
- Organization subpart
- No
- Enumeration date
- Sep 7, 2005
- Certification date
- Jul 7, 2022
- Last updated
- Jul 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD015422E | PA | Yes |
| 2085R0001X | MD015422E | PA |
Practice location
1 Medical Center BlvdChester, PA 19013-3902
Phone 610-447-2517 · Fax 610-956-0069
Mailing address
Po Box 3247Evansville, IN 47731-3247
Phone 800-467-2392 · Fax 812-471-6650
Authorized official
John Hiehle
President
6104472500
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