Organization Active NPI

Keystone Diagnostics and MRI, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Philadelphia, PA
National Provider Identifier
1164756300
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.