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CENTERVILLE CLINICS - CARMICHAEL X-RAY
NPI 1467627612
Radiology - Diagnostic Radiology in Carmichaels, PA

Active since April 29, 2008CLIA 39D0963801 · Waiver
601 W GEORGE ST, CARMICHAELS, PA 15320(724) 966-5081 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centerville Clinics - Carmichael X-ray NPPES

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

CENTERVILLE CLINICS - CARMICHAEL X-RAY (NPI 1467627612) is a healthcare organization registered as a diagnostic radiology in Carmichaels, Pennsylvania and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Patty Martos, Director Finance And Personnel, as its authorized official.

NPPES Registry Identity

NPI1467627612
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCENTERVILLE CLINICS - CARMICHAEL X-RAY
Location Address601 W GEORGE STCarmichaels, PA 15320-1325
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 966-5081
Organization SubpartNo
Authorized OfficialPatty MartosDirector Finance And Personnel · (724) 632-6801
Enumeration DateApril 29, 2008
✔ NPI 1467627612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · 380527
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
601 W GEORGE ST, Carmichaels, PA 15320
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Other Identifiers 2

Medicare OSCAR/certification032095PA
Other0089PA · Blue Cross Of Western Pa.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 39D0963801

Centerville Clinics Carmichaels · Carmichaels, PA
Active · expires Aug 9, 2027
CLIA Number39D0963801
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDr. Thomas G. Wittman
Laboratory Phone(724) 966-5081
Laboratory LocationCenterville Clinics Carmichaels601 West George Street, Carmichaels, PA 15320
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MS. CHRISTI LYNN GROSS B.A.
Specialist
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MRS. JACQUELINE JACKSON
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MRS. DIANE L BIELISKI
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MR. STEPHEN F FETSKO
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MS. TAMI TARQUINIO B.A.
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-2924
MR. MICHAEL D. MONACO B.S.
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MR. BRADLEY S WALTERS
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MS. HEATHER J. HERTIG B.A.
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081

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 Centerville Clinics - Carmichael X-Ray's NPI number?

The NPI number for Centerville Clinics - Carmichael X-Ray is 1467627612. It was assigned to this organization in the NPPES registry on April 29, 2008.

Where is Centerville Clinics - Carmichael X-Ray located?

Centerville Clinics - Carmichael X-Ray is located at 601 W George St, Carmichaels, PA 15320. The listed phone number is (724) 966-5081.

What is Centerville Clinics - Carmichael X-Ray's specialty?

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

Does Centerville Clinics - Carmichael X-Ray hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0963801) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerville Clinics - Carmichael X-Ray was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.