INDEPENDENCE IMAGING LLC NPI 1396084497

NPI Information

NPI: 1396084497
Provider Name: INDEPENDENCE IMAGING, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1200 CONSTITUTION AVE
SUITE 120
PHILADELPHIA, PA
ZIP 19112
Phone: (215) 755-1076
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INDEPENDENCE IMAGING, LLC is a radiology clinic center in Philadelphia, PA. INDEPENDENCE IMAGING, LLC NPI is 1396084497. The provider is registered as an organization entity type.

The provider's business location address is:

1200 CONSTITUTION AVE
SUITE 120
PHILADELPHIA, PA
ZIP 19112-329
Phone: (215) 755-1076
Fax: (215) 755-2167

The provider's authorized official is Christine Chila Hawkinson .
The authorized official title is Partner and has the following contact phone number (215) 755-1076.

The enumeration date for this NPI number is 2/8/2013 and was last updated on 8/4/2014.

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	261QR0200X	Clinic/Center	Radiology			Yes

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: 11/14/2023

NPI Synchronization or Removal

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