Organization Name: | RR PACE MAKER EVALUATION CLINIC |
NPI Number: | 1114188166 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNNE BUTLER (BILLER) |
Mailing Address: | 225 S River St Plains |
State: | PA US |
Postal Code: | 187051123 |
Phone Number: | 5706550397 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2008 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | 9499E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |