NPIMap

Organization Active NPI

Spruce MRI Associates

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1447250386
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SPRUCE MRI ASSOCIATES
Practice address
801 Spruce St
Philadelphia, PA 19107-5701
Phone
(610) 459-3113
NPI assigned
Jul 21, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dominic Chila
Title
Office Manager
Phone
(610) 459-3113

Specialties & licenses 1

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

Addresses

Primary practice location

801 Spruce St
Philadelphia, PA 19107-5701

Mailing address

510 Walnut St
Ste 420
Philadelphia, PA 19106-3601
Phone (610) 459-3113

National Provider Directory

National Provider Directory

Locations

510 Walnut St
Ste 420
Philadelphia, PA 19106

801 Spruce St
Lowr
Philadelphia, PA 19107
Phone (215) 829-6741

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447250386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WALNUT ST",
            "address_2": "STE 420",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063601",
            "telephone_number": "610-459-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "610-459-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRUCE MRI ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHILA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-459-3113"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "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 Jul 21, 2022; 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.