University Dynamic Mri
LBN: George L. Rodriguez, M.D., P.C.
University Dynamic Mri is an health care organization with primary practice located at 1938 S Columbus Blvd , Philadelphia PA 19148-2802. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI). Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty.
George L. Rodriguez, M.D., P.C. can be contacted via phone (215) 462-1500, or through Bamba, Ellen C via phone (215) 425-1500.
Contact Information
Primary practice address
1938 S Columbus Blvd
Philadelphia PA 19148-2802
Phone: (215) 462-1500
Fax: (215) 462-2010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X |
Profile Details
| NPI number | 1164648135 |
|---|---|
| LBN Legal business name | George L. Rodriguez, M.D., P.C. |
| DBA Doing business as | University Dynamic Mri |
| Authorized official | Bamba, Ellen C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jun 24th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164648135 | NPPES |
| Other | 045575900 | INDEPENDENCE BLUE CROSS/PERSONAL CHOICE | |
| Other | 626086 | INDEPENDENCE BLUE CROSS/PERSONAL CHOICE |
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