JEANES RADIOLOGY ASSOCIATES LLC NPI 1639110240

NPI Information

NPI: 1639110240
Provider Name: JEANES RADIOLOGY ASSOCIATES, LLC

Doing Business As: AKUMIN

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1619 GRANT AVE
GRANT PLAZA II
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 676-3300
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JEANES RADIOLOGY ASSOCIATES, LLC is a diagnostic radiology radiology in Philadelphia, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JEANES RADIOLOGY ASSOCIATES, LLC NPI is 1639110240. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Akumin.

The provider's business location address is:

1619 GRANT AVE
GRANT PLAZA II
PHILADELPHIA, PA
ZIP 19115-167
Phone: (215) 676-3300
Fax: (215) 677-0980

The provider's authorized official is Laura Kassa .
The authorized official title is Vp Of Operations and has the following contact phone number (904) 515-0362.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 2/18/2022.

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
1	2085R0202X	Radiology	Diagnostic Radiology		PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001221614	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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