SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC (NPI# 1346507019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346507019 |
| Entity Type | Organization |
| Organization Name | SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC |
| Practice Address |
175 Snyder Rd Hermitage PA 16148-3431 |
| Mailing Address |
5275 Naiman Pkwy Ste E Solon OH 44139-1029 |
| Practice Telephone | 8665121515 |
| Mailing Telephone | 8865121515 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | KATHLEEN A BARRY (COO) |
| Authorized Official Telephone | 4406457822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053619775 | Source Diagnostics of Pennsylvania, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 175 Snyder Rd, Hermitage, PA 16148-3431 | 2011-03-03 |
| Street Address |
175 SNYDER RD |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053619775 | Source Diagnostics of Pennsylvania, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 175 Snyder Rd, Hermitage, PA 16148-3431 | 2011-03-03 |
| 1396180113 | John Love | Pharmacist | 175 Snyder Rd, Hermitage, PA 16148-3431 | 2013-05-07 |
| 1235132721 | Pmc Ohio LLC | Pharmacy | 175 Snyder Rd, Hermitage, PA 16148 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467597336 | Priority Ultrasound Services, LLC | Clinic/Center | 3960 Bell Rd, 209, Hermitage, TN 37076-2944 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925016 | Echo Diagnost-x LLC | Clinic/Center | 933 Old Bethlehem Pike, Sellersville, PA 18960-1801 | 2020-09-06 |
| 1912510603 | Cardiac and Vascular Ultrasound | Clinic/Center | 2094 Flowing Springs Rd, Chester Springs, PA 19425-2632 | 2020-08-24 |
| 1841838828 | Accurate Diagnostics | Clinic/Center | 1331 Lincoln Hwy Ste 113, Levittown, PA 19056-1135 | 2019-12-20 |
| 1508308271 | Superior Testing Services | Clinic/Center | 3630 Corriere Rd Apt 303, Easton, PA 18045-7972 | 2016-11-13 |
| 1063871846 | Knopf Radiology and Health Services | Clinic/Center | 634 E,chester Pike, Apt F 1, Ridley Park, PA 19078 | 2016-02-22 |
| 1750778981 | Geisinger Lewistown Hospital | Clinic/Center | 211 Third Street, Lewistown, PA 17044 | 2015-04-27 |
| 1740620061 | Atlantic Diagnostics LLC | Clinic/Center | 1755 N 13th St, Ste 217, Philadelphia, PA 19122-6011 | 2013-07-01 |
| 1447566609 | Digital Mobile Imaging, LLC. | Clinic/Center | 718 Logan Blvd, Hollidaysburg, PA 16648-3015 | 2010-08-26 |
| 1346577145 | Bond With Me, LLC | Clinic/Center | 30 E Swamp Rd, Doylestown, PA 18901-3915 | 2009-11-16 |
| 1134356629 | Tri State Imaging Solutions, LLC | Clinic/Center | 2840 Pine Rd, Suite D1, Huntingdon Valley, PA 19006-4258 | 2009-06-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.