| Wyomissing Open Mri, Llc | |
|
55 Commerce Dr Wyomissing PA 19610-1038 | |
| (610) 477-1950 | |
| (610) 477-1940 |
| Full Name | Wyomissing Open Mri, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 Commerce Dr, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Bruce Miller (SOLE MEMBER) |
| Authorized Official Contact | 6104771950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyomissing Open Mri, Llc 55 Commerce Dr Wyomissing PA 19610-1038 Ph: (610) 477-1950 | Wyomissing Open Mri, Llc 55 Commerce Dr Wyomissing PA 19610-1038 Ph: (610) 477-1950 |
| NPI Number | 1104554971 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 6204205735 |
|---|---|
| Medicare Enrollment ID | O20221206000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104554971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Philip S Yussen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134117518 PECOS PAC ID: 6204734775 Enrollment ID: I20031222000330 |
| Provider Name | Irene B Darocha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023040813 PECOS PAC ID: 8921079237 Enrollment ID: I20040802000855 |
| Provider Name | Joel D Swartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942231279 PECOS PAC ID: 9234126459 Enrollment ID: I20040802001142 |
| Provider Name | Vikram Sobti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851608756 PECOS PAC ID: 1850516303 Enrollment ID: I20200121000796 |
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