Provider Demographics
NPI:1295790814
Name:LPC RADIOLOGISTS
Entity type:Organization
Organization Name:LPC RADIOLOGISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZACHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-866-2557
Mailing Address - Street 1:2450 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8900
Mailing Address - Country:US
Mailing Address - Phone:610-866-2557
Mailing Address - Fax:
Practice Address - Street 1:2450 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8900
Practice Address - Country:US
Practice Address - Phone:610-866-2557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009285100015Medicaid
PA436676Medicare ID - Type Unspecified