Organization Name: | PHOENIX DIAGNOSTICS LLC |
NPI Number: | 1083877476 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD NICHOLAS RACIOPPI (CO/OWNER) |
Mailing Address: | 368 N Lewis Rd Royersford |
State: | PA US |
Postal Code: | 194681576 |
Phone Number: | 6109481487 |
Fax Number: | 6109481499 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |