Provider Demographics
NPI:1134222359
Name:IN-HOME IMAGING, INC.
Entity type:Organization
Organization Name:IN-HOME IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NODICH
Authorized Official - Suffix:
Authorized Official - Credentials:RT ( R )
Authorized Official - Phone:570-799-0730
Mailing Address - Street 1:25 MOUNTAIN VIEW EST
Mailing Address - Street 2:
Mailing Address - City:CATAWISSA
Mailing Address - State:PA
Mailing Address - Zip Code:17820-8634
Mailing Address - Country:US
Mailing Address - Phone:570-799-0730
Mailing Address - Fax:570-799-5110
Practice Address - Street 1:25 MOUNTAIN VIEW EST
Practice Address - Street 2:
Practice Address - City:CATAWISSA
Practice Address - State:PA
Practice Address - Zip Code:17820-8634
Practice Address - Country:US
Practice Address - Phone:570-799-0730
Practice Address - Fax:570-799-5110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA314028Medicare ID - Type UnspecifiedPORTABLE X-RAY PROVIDER