| Organization Name: | QUANTUM PET LP |
| NPI Number: | 1235125139 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH A BERGEY (MANAGING EMPLOYER) |
| Mailing Address: | 629d Lowther Rd Lewisberry |
| State: | PA US |
| Postal Code: | 173399527 |
| Phone Number: | 8775542738 |
| Fax Number: | 7179322430 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | NONE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |