University Dynamic Mri
LBN: George L. Rodriguez, M.D., P.C.
University Dynamic Mri is an health care organization with primary practice located at 2487 Grant Avenue , Philadelphia PA 19114. 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) 464-0150, or through Bamba, Ellen C. via phone (215) 425-1500.
Contact Information
Primary practice address
2487 Grant Avenue
Philadelphia PA 19114
Phone: (215) 464-0150
Fax:
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 | 1487871489 |
|---|---|
| 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 19th, 2007 |
| Last updated | Jun 23rd, 2009 - about 16 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 | 1487871489 | NPPES |
| Pennsylvania | Other | 045575900 | INDEPENDENCE BLUE CROSS/PERSONAL CHOICE |
| Pennsylvania | Other | 626086 | INDEPENDENCE BLUE CROSS/PERSONAL CHOICE |
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