Active NPI
Trolley Square Open MRI and Imaging Center, LLC
- Diagnostic Radiology Physician
- Wilmington, DE
National Provider Identifier
1417906983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2004210715
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.