Provider Demographics
NPI:1023466240
Name:RPJ LIBERTY ENTERPRISES LLC
Entity type:Organization
Organization Name:RPJ LIBERTY ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:PALUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-759-9666
Mailing Address - Street 1:4300 BELMONT AVE
Mailing Address - Street 2:SUITE #6
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1084
Mailing Address - Country:US
Mailing Address - Phone:330-759-9666
Mailing Address - Fax:330-759-9668
Practice Address - Street 1:4300 BELMONT AVE
Practice Address - Street 2:SUITE #6
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1084
Practice Address - Country:US
Practice Address - Phone:330-759-9666
Practice Address - Fax:330-759-9668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology