NPIMap

Organization Active NPI

Schuylkill Open MRI Inc

Doing business as Open MRI of Allentown

  • Radiology Clinic/Center
  • Pottsville, PA
National Provider Identifier
1285630293
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SCHUYLKILL OPEN MRI INC
Doing business as
Open MRI of Allentown
Schuylkill Medical Imaging
Practice address
48 Tunnel Rd Ste 102
Pottsville, PA 17901-3875
Phone
(570) 622-6206
Fax
(570) 622-7181
NPI assigned
Jun 23, 2005
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Shelley Tomey
Title
Center Manager
Phone
(570) 622-6206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X PA
Radiology Clinic/Center 261QR0200X PA Primary

Addresses

Primary practice location

48 Tunnel Rd Ste 102
Pottsville, PA 17901-3875

Mailing address

3550 Lenox Rd NE Ste 1525
Atlanta, GA 30326-4303
Phone (470) 552-8303

Other practice location 1

7450 Tilghman St
Allentown, PA 18106-9034
Phone (570) 622-6206

Other names 2

  • Open MRI of Allentown Doing business as
  • Schuylkill Medical Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040929000442 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1658340302 Practice locations: Pottsville, PA
O20210112000671 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1658340302 Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

3550 Lenox Rd NE
Ste 1525
Atlanta, GA 30326

48 Tunnel Rd
Ste 102
Pottsville, PA 17901
Phone (570) 622-6206

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1285630293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LENOX RD NE STE 1525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303264303",
            "telephone_number": "470-552-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 TUNNEL RD STE 102",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013875",
            "telephone_number": "570-622-6206",
            "fax_number": "570-622-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Tilghman St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181069034",
            "country_code": "US",
            "telephone_number": "570-622-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCHUYLKILL OPEN MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "TOMEY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CENTER MANAGER",
        "authorized_official_telephone_number": "570-622-6206"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI of Allentown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schuylkill Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.