GEORGE L. RODRIGUEZ M.D. NPI 1932340056

NPI Information

NPI: 1932340056
Provider Name: GEORGE L. RODRIGUEZ, M.D.

Doing Business As: ADVANCED DIAGNOSTICS

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
2487 GRANT AVE
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 464-0150
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GEORGE L. RODRIGUEZ, M.D. is a magnetic resonance imaging (mri) clinic center in Philadelphia, PA. GEORGE L. RODRIGUEZ, M.D. NPI is 1932340056. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Diagnostics.

The provider's business location address is:

2487 GRANT AVE
PHILADELPHIA, PA
ZIP 19114-004
Phone: (215) 464-0150
Fax: (215) 464-0174

The provider's authorized official is Ellen C. Bamba .
The authorized official title is Practice Administrator and has the following contact phone number (214) 525-1500.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 6/24/2009.

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	207R00000X	Internal Medicine		MD 045274E	PENNSYLVANIA	No
2	207R00000X	Internal Medicine				No
3	208100000X	Physical Medicine & Rehabilitation		MD 036647E	PENNSYLVANIA	No
4	208100000X	Physical Medicine & Rehabilitation				No
5	2085R0202X	Radiology	Diagnostic Radiology	131553-1 - NY	NEW YORK	No
6	2085R0202X	Radiology	Diagnostic Radiology	155494-1 - NY	NEW YORK	No
7	2085R0202X	Radiology	Diagnostic Radiology	MD 039238-E	PENNSYLVANIA	No
8	2085R0202X	Radiology	Diagnostic Radiology			No
9	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			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	626086 J1Z	MEDICARE PIN	PENNSYLVANIA
2	0455759000	OTHER	PENNSYLVANIA	INDEPENDENCE BLUE CROSS
3	626086	OTHER		HIGHMARK BLUE SHIELD

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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