NORTHEAST P.E.T IMAGING, L.L.C (NPI# 1154342368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154342368 |
| Entity Type | Organization |
| Organization Name | NORTHEAST P.E.T IMAGING, L.L.C |
| Other Organization Name | NORTHEAST P.E.T IMAGING |
| Practice Address |
8400 Roosevelt Blvd Suite 208 Philadelphia PA 19152-2012 |
| Practice Telephone | 2153354600 |
| Practice Fax Number | 2153354909 |
| Mailing Telephone | 2153354600 |
| Mailing Fax Number | 2153354909 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRUCE E. MILLER (OWNER) |
| Authorized Official Telephone | 2153354600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northeast P.E.T Imaging | Doing Business As Name - Organization |
| Street Address |
8400 ROOSEVELT BLVD SUITE 208 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821158 | Medcath Partners, LLC | Clinic/Center | 8400 Roosevelt Blvd, Suite 220, Philadelphia, PA 19152-2012 | 2006-04-18 |
| 1942619390 | Jessica Rutstein Lazarus | Clinical Neuropsychologist | 8400 Roosevelt Blvd, Suite 206, Philadelphia, PA 19152-2081 | 2014-08-11 |
| 1598176554 | Philadelphia Center for Dermatology, PC | Dermatology | 8400 Roosevelt Blvd, Suite 200, Philadelphia, PA 19152-2081 | 2014-05-13 |
| 1821236340 | Advnatage Chiropractic and Rehabilitation | Chiropractor | 8400 Roosevelt Blvd, Suite 208, Philadelphia, PA 19152-2012 | 2009-01-22 |
| 1831366186 | Nicholas Stephen Patapis | Psychologist | 8400 Roosevelt Blvd, Suite 206, Philadelphia, PA 19152-2081 | 2008-05-14 |
| 1699976340 | Atsuko Kodama | Dermatology | 8400 Roosevelt Blvd, Suite 200, Philadelphia, PA 19152-2081 | 2007-05-30 |
| 1851418701 | Cynthia M Mitchell | Physical Therapy Assistant | 8400 Roosevelt Blvd, Philadelphia, PA 19152-2012 | 2007-03-24 |
| 1376694307 | Heather Michelle Akladios | Chiropractor | 8400 Roosevelt Blvd, Suite 208, Philadelphia, PA 19152-2012 | 2007-01-16 |
| 1033267463 | General & Vascular Surgical Group, P.c | Surgery | 8400 Roosevelt Blvd, Suite 220, Philadelphia, PA 19152-2081 | 2007-01-08 |
| 1629153770 | Wills Surgery Center of The Northeast | Clinic/Center | 8400 Roosevelt Blvd, Philadelphia, PA 19152-2012 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1043775711 | New Vitae, Inc. | Clinic/Center | 27 S. 55th Street, Philadelphia, PA 19139-3247 | 2019-02-06 |
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1952753238 | American Rehabilitation Counseling Center LLC | Clinic/Center | 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 | 2016-07-11 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1023485265 | Greater Philadelphia Health Action Inc. | Clinic/Center | 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 | 2015-08-24 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1912397118 | Physical Corrective Solutions, LLC | Clinic/Center | 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 | 2015-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on NORTHEAST P.E.T IMAGING, L.L.C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.