Organization Active NPI

Trolley Square Open MRI and Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Wilmington, DE
National Provider Identifier
1417906983
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2004210715 Issued in DE
Legal business name
TROLLEY SQUARE OPEN MRI AND IMAGING CENTER, LLC
Doing business as
Bancroft Parkway Open MRI & imaging center
Practice address
1010 N Bancroft Pkwy
Suite 101
Wilmington, DE 19805-2690
Phone
(302) 472-5555
Fax
(302) 472-9998
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Mr. John Rollins III
Title
Managing Partner
Phone
(302) 246-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 2004210715 DE Primary

Addresses

Primary practice location

1010 N Bancroft Pkwy
Suite 101
Wilmington, DE 19805-2690

Mailing address

1010 N Bancroft Pkwy
Suite 101
Wilmington, DE 19805-2690
Phone (302) 472-5555

Other names 1

  • Bancroft Parkway Open MRI & imaging center Doing business as

National Provider Directory

National Provider Directory

Locations

1010 N Bancroft Pkwy
Ste 101
Wilmington, DE 19805
Phone (302) 472-5555

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1417906983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-472-5555",
            "fax_number": "302-472-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-472-5555",
            "fax_number": "302-472-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROLLEY SQUARE OPEN MRI AND IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "302-246-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "2004210715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bancroft Parkway Open MRI & imaging center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.