Provider Demographics
NPI:1467420810
Name:RICHBORO MRI
Entity Type:Organization
Organization Name:RICHBORO MRI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-322-6320
Mailing Address - Street 1:1059 SECOND STREET PIKE
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1803
Mailing Address - Country:US
Mailing Address - Phone:215-322-6320
Mailing Address - Fax:215-322-7410
Practice Address - Street 1:1059 SECOND STREET PIKE
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1803
Practice Address - Country:US
Practice Address - Phone:215-322-6320
Practice Address - Fax:215-322-7410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA195177Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
PA544917Medicare ID - Type UnspecifiedPROVIDER NUMBER