Healthcare Provider Details

I. General information

NPI: 1669470381
Provider Name (Legal Business Name): MNAP MEDICAL SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9908 ROOSEVELT BLVD
PHILADELPHIA PA
19115-1705
US

IV. Provider business mailing address

9908 ROOSEVELT BLVD
PHILADELPHIA PA
19115-1705
US

V. Phone/Fax

Practice location:
  • Phone: 215-464-3300
  • Fax: 215-464-5403
Mailing address:
  • Phone: 215-464-3300
  • Fax: 215-464-5403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number20-48693
License Number StatePA

VIII. Authorized Official

Name: MRS. REGINA LEYMAN
Title or Position: MANAGER
Credential:
Phone: 215-464-3300