NPIMap

Organization Active NPI

Delaware County Open MRI L.L.C

  • Clinic/Center
  • Upper Darby, PA
National Provider Identifier
1114163391
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DELAWARE COUNTY OPEN MRI L.L.C
Practice address
7600 West Chester Pike
Suite 1B
Upper Darby, PA 19082
Phone
(610) 259-3200
Fax
(610) 259-3244
NPI assigned
Dec 18, 2008
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bruce Miller
Title
President
Phone
(610) 259-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PA Primary

Addresses

Primary practice location

7600 West Chester Pike
Suite 1B
Upper Darby, PA 19082

Mailing address

7600 W Chester Pike Ste 1B
Upper Darby, PA 19082-2033
Phone (610) 259-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090612000274 PA Part B Supplier - Clinic/Group Practice 0446300412 Receives reassigned benefits from 10 practitioners
Practice locations: Upper Darby, PA

National Provider Directory

National Provider Directory

Locations

1554 Garrett Rd
Upper Darby, PA 19082
Phone (610) 259-3200

7600 W Chester Pike
Ste 1B
Upper Darby, PA 19082
Phone (610) 259-3200

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1114163391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W CHESTER PIKE STE 1B",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822033",
            "telephone_number": "610-259-3200",
            "fax_number": "610-259-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 WEST CHESTER PIKE",
            "address_2": "SUITE 1B",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "19082",
            "telephone_number": "610-259-3200",
            "fax_number": "610-259-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY OPEN MRI L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "610-259-3200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

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.

Verify at the official NPI Registry.