MEDICARE: IMAGING PROFESSIONALS OF PENNSYLVANIA PC

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	2085R0202X	Diagnostic Radiology Physician		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023001690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMAGING PROFESSIONALS OF PENNSYLVANIA PC

Provider Business Mailing Address
First Line	:	1430 SPRING HILL RD
Second Line	:	SUITE 500
City	:	MC LEAN
State	:	VA
Zip	:	22102-3000
Country	:	US
Telephone Number	:	973-707-1100
Fax Number	:	973-707-1127

Provider Business Practice Location Address
First Line	:	8001 ROOSEVELT BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3038
Country	:	US
Telephone Number	:	888-440-6494
Fax Number	:	330-759-1501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID L BLOOM
Credential	:	MD
Telephone Number	:	973-707-1100

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1568463073 — CHRISTINA L CHAMBLEY PA-C
Practice Location Address:

8001 ROOSEVELT BLVD , SUITE 307
PHILADELPHIA, PA
19152-3038

Practice Phone: 267-731-1333
Practice Fax: 267-731-1284

1952354227 — DR. ALLEN KAGAN MD
Practice Location Address:

2607 RHAWN ST
PHILADELPHIA, PA
19152-3038

Practice Phone: 215-333-0304
Practice Fax: 215-333-1402

1003852013 — NOI WALKENSTEIN DO
Practice Location Address:

2607 RHAWN ST
PHILADELPHIA, PA
19152-3038

Practice Phone: 215-333-0304
Practice Fax: 215-333-1402

1033155247 — FREDERICK WILLIAM RANDOLPH MD
Practice Location Address:

2607 RHAWN ST
PHILADELPHIA, PA
19152-3038

Practice Phone: 215-333-0304
Practice Fax: 215-333-1402

1497784805 — MARC L. POLLACK M.D.
Practice Location Address:

2607 RHAWN ST
PHILADELPHIA, PA
19152-3038

Practice Phone: 215-333-0304
Practice Fax: 215-333-1402

1205856143 — DR. INDRANIL DASGUPTA M.D.
Practice Location Address:

8001 ROOSEVELT BLVD , SUITE 403
PHILADELPHIA, PA
19152-3038

Practice Phone: 215-676-8300
Practice Fax: 215-698-7707

Directions to “IMAGING PROFESSIONALS OF PENNSYLVANIA PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.