Northeast Imaging

LBN: Imaging Professionals Of Pennsylvania Pc
Northeast Imaging is an health care organization with primary practice located at 8001 Roosevelt Blvd , Philadelphia PA 19152-3038. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Imaging Professionals Of Pennsylvania Pc can be contacted via phone (888) 440-6494, or through Bloom, David L via phone (973) 707-1100.

Contact Information

Primary practice address
8001 Roosevelt Blvd Philadelphia PA 19152-3038
Fax: (330) 759-1501
Website:
Authorized official contact:
Name: Bloom, David L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Pennsylvania

Profile Details

NPI number 1023001690
LBN Legal business name Imaging Professionals Of Pennsylvania Pc
DBA Doing business as Northeast Imaging
Authorized official Bloom, David L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 29th, 2005
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023001690 NPPES
Pennsylvania MEDICAID 0011008510016

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