Healthcare Provider Details

I. General information

NPI: 1407620297
Provider Name (Legal Business Name): YORK UPRIGHT MRI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 E MARKET ST STE 20B
YORK PA
17402-5123
US

IV. Provider business mailing address

4075 E MARKET ST STE 20B
YORK PA
17402-5123
US

V. Phone/Fax

Practice location:
  • Phone: 717-244-8504
  • Fax:
Mailing address:
  • Phone: 717-244-8504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIC OSTERBERG
Title or Position: OWNER
Credential:
Phone: 717-586-8316