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Organization
SOUTH PHILADELPHIA OPEN MRI, LLC
Active
Organization
SOUTH PHILADELPHIA OPEN MRI, LLC
Active
Other names
South Philadelphia Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE MILLER (PRESIDENT)
(215) 336-4000
Entity
Organization
Contact information
Practice address
1834 WEST OREGON AVENUE, PHILADELPHIA, PA 19145
(215) 336-4000
(215) 336-4055
Mailing address
1834 WEST OREGON AVENUE, PHILADELPHIA, PA 19145
(215) 336-4000
(215) 336-4055
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
94-170-171
PA
Other
Enumeration date
04/13/2010
Last updated
02/26/2024
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