Active NPI
Wyomissing Open MRI, LLC
- Clinic/Center
- Wyomissing, PA
National Provider Identifier
1104554971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WYOMISSING OPEN MRI, LLC
- Practice address
- 55 Commerce Dr
Wyomissing, PA 19610-1038 - Phone
- (610) 477-1950
- Fax
- (610) 477-1940
- NPI assigned
- Aug 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Miller
- Title
- Sole Member
- Phone
- (610) 477-1950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
55 Commerce Dr
Wyomissing, PA 19610-1038
Mailing address
55 Commerce Dr
Wyomissing, PA 19610-1038
Phone (610) 477-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
55 Commerce Dr
Wyomissing, PA 19610
Phone (610) 713-5672
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Villanova, PA
- NPI 1023040813
-
- Neuroradiology Physician
- Villanova, PA
- NPI 1942231279
-
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1134117518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1104554971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 COMMERCE DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101038",
"telephone_number": "610-477-1950",
"fax_number": "610-477-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 COMMERCE DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101038",
"telephone_number": "610-477-1950",
"fax_number": "610-477-1940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYOMISSING OPEN MRI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-10",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "610-477-1950"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
- Wyomissing Behavior Analysts, LTD.
- Wyomissing Dental Associates
- Wyomissing Dental Associates, P.C.
- Wyomissing Family Medical Assoc LLC
- Wyomissing Hills Podiatric Surgery Center
- Wyomissing Optometric Center, Inc.
- Wyomissing Surgical Clinic, LTD.
- Wyomissing Surgical Services Inc.
- Wypa Anesthesia, LLC
- Amanda Yahn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.