Provider Demographics
NPI:1578592416
Name:DIAGNOSTIC IMAGING SPECIALISTS, LLC
Entity Type:Organization
Organization Name:DIAGNOSTIC IMAGING SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-628-4000
Mailing Address - Street 1:1750 LIMEKILN PIKE
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1502
Mailing Address - Country:US
Mailing Address - Phone:215-628-4000
Mailing Address - Fax:215-628-4243
Practice Address - Street 1:1750 LIMEKILN PIKE
Practice Address - Street 2:
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1502
Practice Address - Country:US
Practice Address - Phone:215-628-4000
Practice Address - Fax:215-628-4243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA060122QUMMedicare PIN