JEANES RADIOLOGY ASSOCIATES NPI 1417903717

NPI Information

  • NPI: 1417903717
  • Provider Name: JEANES RADIOLOGY ASSOCIATES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: PA OPEN MRI @ COUNTY LINE PLAZA
  • Address: 15200 BUSTLETON AVE
    COUNTY LINE PLAZA
    PHILADELPHIA, PA
    ZIP 19116
  • Phone: (215) 676-6500

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NPI Details

JEANES RADIOLOGY ASSOCIATES is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JEANES RADIOLOGY ASSOCIATES NPI is 1417903717. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pa Open Mri @ County Line Plaza.

The provider's business location address is:

15200 BUSTLETON AVE
COUNTY LINE PLAZA
PHILADELPHIA, PA
ZIP 19116-120
Phone: (215) 676-6500
Fax: (215) 676-9753

The provider's authorized official is Victoria Sanchez .
The authorized official title is Credentialing Coordinator and has the following contact phone number (215) 379-8458.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/22/2020.

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
1174400000XSpecialistYes

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: 3/30/2025

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