Berwyn Magnetic Resonance Center LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BERWYN MAGNETIC RESONANCE CENTER LLC

Practice address

3345 Oak Park Ave
Berwyn, IL 60402-3434

Phone

(708) 788-9400

Fax

(708) 788-6369

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian G Drazba

Title

Senior V.P. & Chief Accounting Ofcr

Phone

(949) 282-6000

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Insight Health Corp

  • Diagnostic Radiology Physician
  • Woodbridge, VA
  • NPI 1255300471

  Member Of

  NPD member

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Berwyn Magnetic Resonance Center LLC

  • Physiological Laboratory
  • Berwyn, IL
  • NPI 1851564389
  NPPES parent name

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1891750337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404166",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023434",
            "telephone_number": "708-788-9400",
            "fax_number": "708-788-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERWYN MAGNETIC RESONANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "DRAZBA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR V.P. & CHIEF ACCOUNTING OFCR",
        "authorized_official_telephone_number": "949-282-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berwyn Family Dental
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• Berwyn Foot & Ankle Center
• Berwyn Imaging LLC
• Berwyn Magnetic Resonance Center LLC
• Berwyn Oak Park Family Dentistry
• Berwyn Orthopedic Surgeons, LTD.
• Berwyn Physical Therapy LTD
• Berwyn Rehabilitation Center, LLC
• Berwyn Respiratory & Rehabilitation Center LLC

• Physiological Laboratory in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Physiological Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.