Provider Demographics
NPI:1669470381
Name:MNAP MEDICAL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:MNAP MEDICAL SOLUTIONS, INC.
Other - Org Name:MNAP DIAGNOSTIC CENTER AND MNAP ONCOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-464-3300
Mailing Address - Street 1:9908 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-1705
Mailing Address - Country:US
Mailing Address - Phone:215-464-3300
Mailing Address - Fax:215-464-5403
Practice Address - Street 1:9908 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-1705
Practice Address - Country:US
Practice Address - Phone:215-464-3300
Practice Address - Fax:215-464-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20-486932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2324240000OtherKHPE
PA1646499OtherBLUE SHIELD
PA2140019000OtherKHPE
2347186OtherUNITED HEALTHCARE
PA33677OtherHEALTH PARTNER
PAP00056781OtherRR MEDICARE
PA3Y3460OtherHEALTH NET
PA1019492480001Medicaid
PA1454015OtherBLUE SHIELD
3266178OtherAETNA
30008154OtherKEYSTONE MERCY
PA1454015OtherIBC
PA33677OtherHEALTH PARTNER