Provider Demographics
NPI:1528372737
Name:LANCASTER OUTPATIENT IMAGING, LLC
Entity Type:Organization
Organization Name:LANCASTER OUTPATIENT IMAGING, LLC
Other - Org Name:LANCASTER BREAST IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPRINGER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:717-735-8188
Mailing Address - Street 1:924 RED ROSE CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1969
Mailing Address - Country:US
Mailing Address - Phone:717-293-0709
Mailing Address - Fax:717-293-0819
Practice Address - Street 1:2170 NOLL DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7603
Practice Address - Country:US
Practice Address - Phone:717-393-5187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANCASTER OUTPATIENT IMAGING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty