Active NPI
Keystone Diagnostics and MRI, LLC
- Magnetic Resonance Imaging Radiologic Technologist
- Philadelphia, PA
National Provider Identifier
1164756300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- Legal business name
- KEYSTONE DIAGNOSTICS AND MRI, LLC
- Practice address
- 7625 Ogontz Ave
Philadelphia, PA 19150-1816 - Phone
- (215) 224-9515
- Fax
- (215) 224-4388
- NPI assigned
- Sep 21, 2009
- Last updated
- Dec 23, 2009
- 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
- Mr. Jeffrey Lincow
- Title
- General Manager
- Phone
- (215) 893-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | Primary |
Addresses
Primary practice location
7625 Ogontz Ave
Philadelphia, PA 19150-1816
Mailing address
7622 Ogontz Ave
Philadelphia, PA 19150-1817
Phone (215) 224-8980
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1851585483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1164756300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7622 OGONTZ AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191501817",
"telephone_number": "215-224-8980",
"fax_number": "215-893-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7625 OGONTZ AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191501816",
"telephone_number": "215-224-9515",
"fax_number": "215-224-4388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE DIAGNOSTICS AND MRI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-21",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "LINCOW",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "215-893-4700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.