Independence Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

INDEPENDENCE IMAGING, LLC

Practice address

1200 Constitution Ave
Suite 120
Philadelphia, PA 19112-1329

Phone

(215) 755-1076

Fax

(215) 755-2167

NPI assigned

Feb 8, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Chila Hawkinson, MBA

Title

Partner

Phone

(215) 755-1076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1396084497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONSTITUTION AVE",
            "address_2": "SUITE 120",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121329",
            "telephone_number": "215-755-1076",
            "fax_number": "215-755-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONSTITUTION AVE",
            "address_2": "SUITE 120",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121329",
            "telephone_number": "215-755-1076",
            "fax_number": "215-755-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "HAWKINSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "CHILA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "215-755-1076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indepedence Medical Associates P.C.
• Independence Care of Philadelphia, LLC.
• Independence Charter School
• Independence Dental PC
• Independence Homecare Partners LLC
• Independence Learning Centers for Autism
• Independence Prosthetics-Orthotics, Inc.
• Independent Apothecary Incorporated
• Independent Contractor
• Independent Home Care Inc

• Radiology Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Radiology Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.