Organization
JEANES RADIOLOGY ASSOCIATES LLC
Active
Organization
JEANES RADIOLOGY ASSOCIATES LLC
Active
Other names
Akumin
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE WILLIAMS (CREDENTIALING SUPERVISOR)
(754) 206-6226
Entity
Organization
Contact information
Practice address
1619 GRANT AVE, GRANT PLAZA II, PHILADELPHIA, PA 19115-3167
(215) 676-3300
(215) 677-0980
Mailing address
1619 GRANT AVENUE, PHILADELPHIA, PA 19115-3167
(215) 676-3300
(215) 677-0980
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001221614
—
PA
Enumeration date
06/08/2006
Last updated
04/20/2026
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