Organization
BERWYN MAGNETIC RESONANCE CENTER LLC
Active
Parent organization
BERWYN MAGNETIC RESONANCE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BERWYN MAGNETIC RESONANCE CENTER LLC
Authorized official
BRIAN G DRAZBA (SENIOR VP & CHIEF ACCOUNTING OFFCR)
94928260000
Entity
Organization
Contact information
Practice address
3345 OAK PARK AVE, MOBILE UNIT, BERWYN, IL 60402-3434
(708) 788-9400
Mailing address
PO BOX 404166, ATLANTA, GA 30384-7166
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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