# POTTSTOWN IMAGING COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pottstown Scanning & Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386612752
- **Authorized official:** GARY NEWSOME (SENIOR VP, GROUP OPERATIONS)
- **Authorized official phone:** (888) 373-9600

## Contact information

- **Practice address:** 1611 MEDICAL DR, POTTSTOWN, PA 19464-3241
- **Practice address phone:** (610) 327-7300
- **Mailing address:** PO BOX 501151, SAINT LOUIS, MO 63150-1151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 163201 | PA | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001054 | KEYSTONE | — |
| 05 | — | 1008494000001 | — | PA |