GEISINGER PITTSTON RADIOLOGY, A SERVICE OF GWV
NPI 1104292960
Radiology - Diagnostic Radiology in Pittston, PA

Active since August 17, 2015CLIA 39D0863751 · Waiver
42 NORTH MAIN ST, PITTSTON, PA 18640(570) 654-0880 Get Directions Write a Review

NPPES record last updated: October 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Geisinger Pittston Radiology, A Service Of Gwv NPPES

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

GEISINGER PITTSTON RADIOLOGY, A SERVICE OF GWV (NPI 1104292960) is a healthcare organization registered as a diagnostic radiology in Pittston, Pennsylvania and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Cindy L Mull, Director Credentialing/enrollments, as its authorized official.

NPPES Registry Identity

NPI1104292960
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGEISINGER WYOMING VALLEY MEDICAL CENTER
Location Address42 NORTH MAIN STPittston, PA 18640
Mailing Address100 North Academy AvenueDanville, PA 17822-4903 · (570) 271-5555 · Fax (570) 271-6578
Organization SubpartNo
Authorized OfficialCindy L MullDirector Credentialing/enrollments · (570) 271-6603
Enumeration DateAugust 17, 2015
Last NPPES UpdateOctober 2, 2015
NPI 1104292960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
42 NORTH MAIN ST, Pittston, PA 18640

Other Names 1

Doing Business AsGeisinger Pittston Radiology, A Service Of Gwv

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0863751

Geisinger Pittston · Pittston, PA
Active · expires Aug 31, 2027
CLIA Number39D0863751
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorLuigi Spagnolini
Laboratory Phone(570) 654-0880
Laboratory LocationGeisinger Pittston42 North Main Street, Pittston, PA 18640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Geisinger Wyoming Valley Medical Center's NPI number?

The NPI number for Geisinger Wyoming Valley Medical Center is 1104292960. It was assigned to this organization in the NPPES registry on August 17, 2015. The provider is doing business as Geisinger Pittston Radiology, A Service Of Gwv.

Where is Geisinger Wyoming Valley Medical Center located?

Geisinger Wyoming Valley Medical Center is located at 42 North Main St, Pittston, PA 18640. The listed phone number is (570) 654-0880.

What is Geisinger Wyoming Valley Medical Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Geisinger Wyoming Valley Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0863751) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Geisinger Wyoming Valley Medical Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Geisinger Wyoming Valley Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geisinger Wyoming Valley Medical Center was last updated on October 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.