Provider Demographics
NPI:1730107590
Name:CAMBRIA SOMERSET RADIOLOGY & NUCLEAR MEDICINE GROUP, INC.
Entity Type:Organization
Organization Name:CAMBRIA SOMERSET RADIOLOGY & NUCLEAR MEDICINE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-535-4065
Mailing Address - Street 1:239 MAIN ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1640
Mailing Address - Country:US
Mailing Address - Phone:814-535-4065
Mailing Address - Fax:814-535-4065
Practice Address - Street 1:1086 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4305
Practice Address - Country:US
Practice Address - Phone:814-539-5987
Practice Address - Fax:814-535-4176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000954950Medicaid
PA469679Medicare PIN