Organization
BERWYN MAGNETIC RESONANCE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
3345 OAK PARK AVE, BERWYN, IL 60402-3434
(708) 788-9400
(708) 788-6369
Mailing address
PO BOX 404166, ATLANTA, GA 30384-4166
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
11/09/2007
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