Provider Demographics
NPI:1487778734
Name:RADIOLOGY CONSULTANTS OF UNION, PA
Entity type:Organization
Organization Name:RADIOLOGY CONSULTANTS OF UNION, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MUEHLENBEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-533-6099
Mailing Address - Street 1:3328 GUESS RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2158
Mailing Address - Country:US
Mailing Address - Phone:919-620-5700
Mailing Address - Fax:919-620-3632
Practice Address - Street 1:322 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-2839
Practice Address - Country:US
Practice Address - Phone:864-429-2623
Practice Address - Fax:864-427-7472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC271092085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8713Medicare PIN