Provider Demographics
NPI:1073677266
Name:MEDICAL MARKETING AND MANAGEMENT, LLC
Entity Type:Organization
Organization Name:MEDICAL MARKETING AND MANAGEMENT, LLC
Other - Org Name:KENN-MEDICAL IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LEO
Authorized Official - Last Name:BEISLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-333-2939
Mailing Address - Street 1:1800 PINE HOLLOW ROAD
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1516
Mailing Address - Country:US
Mailing Address - Phone:412-331-3477
Mailing Address - Fax:412-331-7233
Practice Address - Street 1:1800 PINE HOLLOW ROAD
Practice Address - Street 2:SUITE 1D
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1516
Practice Address - Country:US
Practice Address - Phone:412-331-3477
Practice Address - Fax:412-331-7233
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL MARKETING AND MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA004390OtherUPMC
PA03601OtherUMPC HEALTH PLAN
PA004390OtherUPMC