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SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC
NPI 1053619775
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hermitage, PA

Active since March 03, 2011
175 SNYDER RD, HERMITAGE, PA 16148(440) 645-7822(440) 542-9482 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Source Diagnostics Of Pennsylvania, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC (NPI 1053619775) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Hermitage, Pennsylvania and active in the NPI registry since March 2011. The organization lists Kathleen Ann Barry, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1053619775
Entity TypeOrganization
Primary Taxonomy335V00000X
Legal Business NameSOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC
Location Address175 SNYDER RDHermitage, PA 16148-3431
Mailing Address5275 Naiman Pkwy, Suite ESolon, OH 44139-1029 · (440) 645-7822 · Fax (440) 542-9482
Phone(440) 645-7822
Fax(440) 542-9482
Organization SubpartNo
Authorized OfficialKathleen Ann BarryC.o.o. · (440) 645-7822
Enumeration DateMarch 3, 2011
Last NPPES UpdateApril 12, 2012
✔ NPI 1053619775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
Taxonomy Code335V00000X
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
175 SNYDER RD, Hermitage, PA 16148
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Other Identifiers 1

Medicare PIN234835PA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC
Clinic/Center (Radiology, Mobile)
175 SNYDER RD
HERMITAGE, PA 16148
Mercer County (866) 512-1515
JOHN LOVE RPH
Pharmacist
175 SNYDER RD
HERMITAGE, PA 16148
Mercer County (724) 981-1181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Source Diagnostics Of Pennsylvania, LLC's NPI number?

The NPI number for Source Diagnostics Of Pennsylvania, LLC is 1053619775. It was assigned to this organization in the NPPES registry on March 3, 2011.

Where is Source Diagnostics Of Pennsylvania, LLC located?

Source Diagnostics Of Pennsylvania, LLC is located at 175 Snyder Rd, Hermitage, PA 16148. The listed phone number is (440) 645-7822.

What is Source Diagnostics Of Pennsylvania, LLC's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Source Diagnostics Of Pennsylvania, LLC was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.