| Montgomery County Advanced Medical Imaging, Llc | |
|
2701 Blair Mill Rd Blairwood Bldg. Suite 9 Willow Grove PA 19090-1041 | |
| (215) 481-3377 | |
| (215) 481-7682 |
| Full Name | Montgomery County Advanced Medical Imaging, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2701 Blair Mill Rd, Willow Grove, Pennsylvania |
| Authorized Official Name and Position | Paul Vincent O'moore (PRESIDENT) |
| Authorized Official Contact | 2154812079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery County Advanced Medical Imaging, Llc 2501 Oregon Pike Suite 101 Lancaster PA 17601-4890 Ph: (717) 390-2479 | Montgomery County Advanced Medical Imaging, Llc 2701 Blair Mill Rd Blairwood Bldg. Suite 9 Willow Grove PA 19090-1041 Ph: (215) 481-3377 |
| NPI Number | 1134315369 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 04/20/2011 |
| Medicare PECOS PAC ID | 9638267446 |
|---|---|
| Medicare Enrollment ID | O20071113000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134315369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PA-0055 (Pennsylvania) | Primary |
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