Reveal Diagnostic Imaging of Pennsylvania LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

REVEAL DIAGNOSTIC IMAGING OF PENNSYLVANIA LLC

Practice address

450 Cresson Blvd Ste 100
Phoenixville, PA 19460-6145

Phone

(610) 650-0267

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Mehmet Engin Olcer

Title

Vice President

Phone

(843) 815-7101

Specialties & licenses 1

Addresses

Other names 1

• Oaks Radiology Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1740828532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23137",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299253137",
            "telephone_number": "843-342-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD STE 100",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194606145",
            "telephone_number": "610-650-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL DIAGNOSTIC IMAGING OF PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "OLCER",
        "authorized_official_first_name": "MEHMET",
        "authorized_official_middle_name": "ENGIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-815-7101"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oaks Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oaks Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physiological Laboratory in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Physiological Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.