MEDICARE: MRI CONSULTANTS LEWES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	C1-0003457	DE

General Provider Information

NPI Number	:	1275801631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MRI CONSULTANTS LEWES

Provider Business Mailing Address
First Line	:	17252 N VILLAGE MAIN BLVD STE 9
Second Line	:	FIVE POINTS SHOPPING CENTER
City	:	LEWES
State	:	DE
Zip	:	19958-6292
Country	:	US
Telephone Number	:	302-566-8600
Fax Number	:	888-677-7145

Provider Business Practice Location Address
First Line	:	1 CENTURIAN DR STE 107
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19713-2154
Country	:	US
Telephone Number	:	302-295-3367
Fax Number	:	302-999-9897

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. PHILIP W CHAO
Credential	:	M.D.
Telephone Number	:	302-566-6600

Provider Enumeration Date	:	12/13/2011
Last Update Date	:	12/13/2011

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Directions to “MRI CONSULTANTS LEWES ” Practice Location

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