Provider Demographics
NPI:1063449593
Name:LOWRY RADIOLOGY ASSOCIATES, INC
Entity Type:Organization
Organization Name:LOWRY RADIOLOGY ASSOCIATES, INC
Other - Org Name:LOWRY RADIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHMADEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-527-2845
Mailing Address - Street 1:1113 LOWRY AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3072
Mailing Address - Country:US
Mailing Address - Phone:724-527-2845
Mailing Address - Fax:724-523-0365
Practice Address - Street 1:1111 LOWRY AVE
Practice Address - Street 2:BLDG A
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3071
Practice Address - Country:US
Practice Address - Phone:724-527-2845
Practice Address - Fax:724-523-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010470840002Medicaid
PA0010470840002Medicaid