Provider Demographics
NPI:1760435457
Name:OPEN AIR IMAGING, INC.
Entity Type:Organization
Organization Name:OPEN AIR IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-425-0220
Mailing Address - Street 1:280 MCCLELLANDTOWN RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3111
Mailing Address - Country:US
Mailing Address - Phone:724-425-0220
Mailing Address - Fax:724-425-0370
Practice Address - Street 1:280 MCCLELLANDTOWN RD
Practice Address - Street 2:SUITE D
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3111
Practice Address - Country:US
Practice Address - Phone:724-425-0220
Practice Address - Fax:724-425-0370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA093043Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER