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Organization
POTTSTOWN IMAGING COMPANY
Active
Organization
POTTSTOWN IMAGING COMPANY
Active
Other names
Pottstown Scanning & Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY NEWSOME (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
1611 MEDICAL DR, POTTSTOWN, PA 19464-3241
(610) 327-7300
Mailing address
PO BOX 501151, SAINT LOUIS, MO 63150-1151
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
163201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001054
KEYSTONE
—
05
—
1008494000001
—
PA
Enumeration date
03/10/2006
Last updated
08/22/2020
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