REVEAL DIAGNOSTIC IMAGING OF PENNSYLVANIA LLC


Address: 450 Cresson Blvd., Suite 100, Oaks, PA 19456
Phone: 6106500267

REVEAL DIAGNOSTIC IMAGING OF PENNSYLVANIA LLC (NPI# 1740828532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740828532
Entity Type Organization
Organization Name REVEAL DIAGNOSTIC IMAGING OF PENNSYLVANIA LLC
Practice Address 450 Cresson Blvd.
Suite 100
Oaks
PA 19456
Mailing Address Po Box 23137
Hilton Head Island
SC 29925-3137
Practice Telephone 6106500267
Mailing Telephone 8433427100
Enumeration Date 2019-12-12
Last Update Date 2019-12-12
Authorized Official Name MEHMET ENGIN OLCER (VICE PRESIDENT)
Authorized Official Telephone 8438157101
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
Oaks Radiology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457300972 Reveal Diagnostic Imaging of Pennsylvania LLC Physiological Laboratory 1025 Berkshire Blvd, Suite 500, Wyomissing, PA 19610-1227 2006-05-10

Office Location

Street Address 450 CRESSON BLVD.
SUITE 100
City OAKS
State PA
Zip Code 19456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710243373 Lisa Ann Crofcheck Nurse Practitioner 450 Cresson Blvd., Suite 110, Oaks, PA 19456 2012-04-09
1326380734 Eun-jung Joan Sathe Dentist 450 Cresson Blvd., Suite 210, Oaks, PA 19456 2013-03-23
1851656334 Daniel F. Derosa Dentist 450 Cresson Blvd., Suite 210, Oaks, PA 19456 2012-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568060416 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 200 C Mill Rd, Oaks, PA 19456 2020-10-13
1063763811 Gerald F. Coppola, Jr. Chiropractor 1003a Egypt Rd., Suite 1, Oaks, PA 19456 2012-09-19
1063702199 American Family Dental Care, P.C. Dentist 405 Cresson Blvd, Suite # 210, Oaks, PA 19456 2011-04-11
1942538475 Usv Optical Inc. Technician/Technologist 200-c Mill Road, Oaks, PA 19456 2009-11-20
1780864165 Galeotti Family Chiropractic Center, PC Chiropractor 1003 A Egypt Road, Oaks, PA 19456 2007-11-14
1003000670 Dr. Jeff Snyder, LLC Chiropractor 1003a Egypt Road, Oaks, PA 19456 2007-08-28
1932302874 Oaks Dental Specialists LLC Dentist 405 Highland Ave., Oaks, PA 19456 2007-06-07
1245344183 Anne D. Angle Dentist 1207 Egypt Road, Box 380, Oaks, PA 19456 2006-08-18
1588696975 Chris J Galeotti Chiropractor 1003 A Egypt Rd., Oaks, PA 19456 2006-07-07
1982652921 Garo Megerian Obstetrics & Gynecology 450 Cresson Blvd, Ste. 300, Oaks, PA 19456 2006-05-04
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093228330 Medi-lynx Cardiac Monitoring, LLC Physiological Laboratory 830 Town Center Dr Ste 832, Langhorne, PA 19047-1748 2017-11-08
1245625904 Zoll Laboratory Services LLC Physiological Laboratory 121 Gamma Dr, Suite 100, Pittsburgh, PA 15238-2919 2015-03-31
1497160907 Toxicity Assessors Global of Pennsylvania LLC Physiological Laboratory 5070 Parkside Ave Ste 2103, Philadelphia, PA 19131-4747 2014-06-23
1205135480 Rmddxusa Corp Physiological Laboratory 100 Matsonford Rd, Three Radnor Corporate Center Suite 302, Radnor, PA 19087-4559 2011-03-27
1487954913 American Diagnostics Services LLC Physiological Laboratory 101 Rock Rd, Horsham, PA 19044-2310 2010-11-01
1902114168 Jefferson University Radiology Associates, LLC Physiological Laboratory 1 W Germantown Pike, East Norriton, PA 19401-1513 2010-09-21
1104084391 Iyi Physiological Laboratory 6425 Tulip St, Philadelphia, PA 19135-3324 2008-05-25
1922281682 Mobile Diagnostics Inc. Physiological Laboratory 310 Cottman St, Jenkintown, PA 19046-2821 2007-12-17
1467505982 Monitors for Medicine Inc Physiological Laboratory 1524 Ridge Ave, Shillington, PA 19607-1425 2007-01-19
1790869402 Cardionet, LLC Physiological Laboratory 1000 Cedar Hollow Road, Suite 120, Malvern, PA 19355 2006-10-25
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Competitor

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City OAKS
Zip Code 19456

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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