Provider Demographics
NPI:1205831849
Name:SURGICAL INSTITUTE OF READING, LLC
Entity Type:Organization
Organization Name:SURGICAL INSTITUTE OF READING, LLC
Other - Org Name:READING SURGERY CENTER OF THE SURGICAL INSTITUTE OF READING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER / AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-763-3859
Mailing Address - Street 1:1280 BROADCASTING RD
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3203
Mailing Address - Country:US
Mailing Address - Phone:610-736-9909
Mailing Address - Fax:610-736-0451
Practice Address - Street 1:1280 BROADCASTING RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3203
Practice Address - Country:US
Practice Address - Phone:610-736-9909
Practice Address - Fax:610-736-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA147397OtherHEALTH AMERICA
PA0018718420001Medicaid
PA390836OtherCAPITAL BLUE CROSS
PA39C0001111Medicare Oscar/Certification
PA087997Medicare PIN