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BERWYN MAGNETIC RESONANCE CENTER LLC NPI 1891750337


NPI Information

NPI: 1891750337
Provider Name: BERWYN MAGNETIC RESONANCE CENTER LLC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
3345 OAK PARK AVE
BERWYN, IL
ZIP 60402
Phone: (708) 788-9400
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BERWYN MAGNETIC RESONANCE CENTER LLC is a physiological laboratory in Berwyn, IL. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. BERWYN MAGNETIC RESONANCE CENTER LLC NPI is 1891750337. The provider is registered as an organization entity type.

The provider's business location address is:

3345 OAK PARK AVE
BERWYN, IL
ZIP 60402-434
Phone: (708) 788-9400
Fax: (708) 788-6369

The provider's authorized official is Brian G Drazba .
The authorized official title is Senior V.p. & Chief Accounting Ofcr and has the following contact phone number (949) 282-6000.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 11/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1564040MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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