AMERICAN ACCESS CARE OF SP LLC NPI 1588639819

NPI Information

  • NPI: 1588639819
  • Provider Name: AMERICAN ACCESS CARE OF SP LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • CLIA Number: 39D1041499
  • Address: 2412 W PASSYUNK AVE STE 14
    PHILADELPHIA, PA
    ZIP 19145
  • Phone: (215) 462-2100

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NPI Details

AMERICAN ACCESS CARE OF SP LLC is a vascular and interventional radiology radiology in Philadelphia, PA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. AMERICAN ACCESS CARE OF SP LLC NPI is 1588639819. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2412 W PASSYUNK AVE STE 14
PHILADELPHIA, PA
ZIP 19145-114
Phone: (215) 462-2100
Fax: (215) 462-3100

The provider's authorized official is Gregg Miller .
The authorized official title is Authorized Official and has the following contact phone number (717) 515-4048.

The CLIA number assigned to this NPI record is 39D1041499 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 3/14/2025.

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
12085R0204XRadiologyVascular & Interventional RadiologyYes

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
11020298060 001MEDICAIDPENNSYLVANIA

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: 3/30/2025

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