# SOUTH PHILADELPHIA OPEN MRI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Philadelphia Open MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326364613
- **Authorized official:** BRUCE MILLER (PRESIDENT)
- **Authorized official phone:** (215) 336-4000

## Contact information

- **Practice address:** 1834 WEST OREGON AVENUE, PHILADELPHIA, PA 19145
- **Practice address phone:** (215) 336-4000
- **Practice address fax:** (215) 336-4055
- **Mailing address:** 1834 WEST OREGON AVENUE, PHILADELPHIA, PA 19145
- **Mailing address phone:** (215) 336-4000
- **Mailing address fax:** (215) 336-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 94-170-171 | PA | Yes |

## Other

- **Enumeration date:** 04/13/2010
- **Last updated:** 02/26/2024