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Contact Information

MNAP DIAGNOSTIC IMAGING LLC
9908 ROOSEVELT BLVD
PHILADELPHIA, PA19115
 Phone: 215-673-9260
 Fax: 215-673-9254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Podiatrist

213E00000X 48 Podiatry
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MNAP DIAGNOSTIC IMAGING LLC

NPI # 1760796353
LBN Legal business name MNAP DIAGNOSTIC IMAGING LLC
Authorized official RAUL BINIAURISHVILI - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/06/2010
Last updated 07/29/2015 - About 11 years ago
Identifiers
PA License # SC005791
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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