Provider Demographics
NPI:1871533141
Name:ARMSTRONG OUTPATIENT IMAGING LLC
Entity type:Organization
Organization Name:ARMSTRONG OUTPATIENT IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-935-6246
Mailing Address - Street 1:7 ACEE DRIVE
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065
Mailing Address - Country:US
Mailing Address - Phone:800-223-5544
Mailing Address - Fax:724-294-3206
Practice Address - Street 1:87 GLADE DRIVE
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201
Practice Address - Country:US
Practice Address - Phone:724-543-8787
Practice Address - Fax:724-543-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1534511OtherGATEWAY GROUP
322759OtherUPMC
AR1459548OtherBS
144362Other3 RIVERS GROUP
PA0019496400002Medicaid
2344976OtherCIGNA
5447OtherMISYS FAST CLAIM
P00056692OtherRR MEDICARE
3331983OtherAETNA PROVIDER
1534511OtherGATEWAY MEDICARE ASSURED
227513OtherHEALTH AMERICA
2463OtherRAYTEL
7926539OtherAETNA REFERRAL
0019496400002OtherMEDICAL ASSISTANCE GROUP
0019496400002OtherMEDICAL ASSISTANCE GROUP
1534511OtherGATEWAY MEDICARE ASSURED
=========001OtherTRICARE
071489Medicare PIN
3331983OtherAETNA PROVIDER