Provider Demographics
NPI:1114163391
Name:DELAWARE COUNTY OPEN MRI L.L.C
Entity Type:Organization
Organization Name:DELAWARE COUNTY OPEN MRI L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-259-3200
Mailing Address - Street 1:7600 W CHESTER PIKE STE 1B
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2033
Mailing Address - Country:US
Mailing Address - Phone:610-259-3200
Mailing Address - Fax:610-259-3244
Practice Address - Street 1:7600 WEST CHESTER PIKE
Practice Address - Street 2:SUITE 1B
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082
Practice Address - Country:US
Practice Address - Phone:610-259-3200
Practice Address - Fax:610-259-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center