# BERWYN MAGNETIC RESONANCE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BERWYN MAGNETIC RESONANCE CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851564389
- **Legal business name:** BERWYN MAGNETIC RESONANCE CENTER LLC
- **Authorized official:** BRIAN G DRAZBA (SENIOR VP & CHIEF ACCOUNTING OFFCR)
- **Authorized official phone:** 94928260000

## Contact information

- **Practice address:** 3345 OAK PARK AVE, MOBILE UNIT, BERWYN, IL 60402-3434
- **Practice address phone:** (708) 788-9400
- **Mailing address:** PO BOX 404166, ATLANTA, GA 30384-7166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2008
- **Last updated:** 04/04/2008