OPEN M.R.I OF CHESTNUT HILL, L.L.C.


Address: 7713 Crittenden Street, Philadelphia, PA 19118-4407
Phone: 2152481200

OPEN M.R.I OF CHESTNUT HILL, L.L.C. (NPI# 1912929126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912929126
Entity Type Organization
Organization Name OPEN M.R.I OF CHESTNUT HILL, L.L.C.
Other Organization Name CHESTNUT HILL OPEN M.R.I.
Practice Address 7713 Crittenden Street
Philadelphia
PA 19118-4407
Mailing Address 8400 Roosevelt Blvd
Suite 210
Philadelphia
PA 19152-2012
Practice Telephone 2152481200
Practice Fax Number 2152485070
Mailing Telephone 2153351100
Mailing Fax Number 2153355370
Enumeration Date 2006-07-24
Last Update Date 2013-01-17
Authorized Official Name MR. BRUCE E. MILLER (OWNER)
Authorized Official Telephone 2153351100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Chestnut Hill Open M.R.I. Doing Business As Name - Organization

Office Location

Street Address 7713 CRITTENDEN STREET
City PHILADELPHIA
State PA
Zip Code 19118-4407

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1801380126 Bridget Hirsch Psychologist 18 E Abington Avenue, Philadelphia, PA 19118 2018-06-20
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1710344056 Zachary Roberts Physical Therapist 19 West Highland Avenue, Philadelphia, PA 19118 2016-01-18
1164847810 Judith Maxwell Family Medicine 415 West Mermaid Ln, Philadelphia, PA 19118 2014-03-04
1174963151 Deborah Hope Cooper Counselor 22 E. Chestnut Hill Avenue, Samaritan Counseling Service, Philadelphia, PA 19118 2013-07-05
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1083964902 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 7700 Crittenden Ave., Philadelphia, PA 19118 2012-09-18
1215286679 Jessica M Steedle Speech-Language Pathologist 102 East Mermaid Lane, Philadelphia, PA 19118 2012-08-31
1083960124 Fahad Malik Akhtar Family Medicine 8815 Germantown Avenue, 5th Floor, Philadelphia, PA 19118 2012-07-26
1992026793 Valerie Mikula Hughes Dentist 9 E. Highland Ave, Philadelphia, PA 19118 2010-06-15
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

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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
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Competitor

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City PHILADELPHIA
Zip Code 19118

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Dataset Information

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.

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