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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