Basic Information
| Provider Information | |||||||||
| NPI: | 1356396113 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADVANCED IMAGING CENTER AT DSI BUCKS COUNTY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 511 UNION STREET | ||||||||
| Address2: | SUITE 1800 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 34219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154670134 | ||||||||
| FaxNumber: | 6152343504 | ||||||||
| Practice Location | |||||||||
| Address1: | 3260 TILLMAN DRIVE | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | BENSALEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156399604 | ||||||||
| FaxNumber: | 2156399607 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2006 | ||||||||
| LastUpdateDate: | 03/28/2008 | ||||||||
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| AuthorizedOfficialLastName: | LEFKOVITZ | ||||||||
| AuthorizedOfficialFirstName: | JUDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | EVP CHIEF ADMINISTRATIVE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 6154670128 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0200X | N | Ambulatory Health Care Facilities | Clinic/Center | Radiology | 261QR0206X | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology, Mammography |
No ID Information.