MNAP DIAGNOSTIC IMAGING - NPI 1003233719 - Radiology in Philadelphia, PA

Q: What is Pinnacle Physicians Group, LLC's NPI number?

The NPI number for Pinnacle Physicians Group, LLC is 1003233719. It was assigned to this organization in the NPPES registry on March 20, 2014. The provider is also known as Mnap Diagnostic Imaging.

Q: What is Pinnacle Physicians Group, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

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About Mnap Diagnostic Imaging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MNAP DIAGNOSTIC IMAGING (NPI 1003233719) is a healthcare organization registered as a radiation oncology in Philadelphia, Pennsylvania and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Carole Medoff, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003233719

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NamePINNACLE PHYSICIANS GROUP, LLC

Location Address9908 ROOSEVELT BLVDPhiladelphia, PA 19115-1705

Mailing Address9908 Roosevelt BlvdPhiladelphia, PA 19115-1705 · (215) 464-3300

Phone(215) 464-3300

Organization SubpartNo

Authorized OfficialCarole MedoffExecutive Director · (215) 435-1709

Enumeration DateMarch 20, 2014

Last NPPES UpdateMay 29, 2014

✔ NPI 1003233719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

9908 ROOSEVELT BLVD, Philadelphia, PA 19115

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Other Names 1

Other NameMnap Diagnostic Imaging

Other Identifiers 4

Medicaid1027993620001PA

OtherPENDINGPA · Independence Bluecross

Other3039921PA · Highmark Bluecross

Other248882PA · Medicare Group Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2282108

Pinnacle Physicians Group · Philadelphia, PA

Active · expires May 16, 2027

CLIA Number39D2282108

Laboratory TypePhysician Office

Certificate Effective DateMay 17, 2025

Certificate Expiration DateMay 16, 2027

Laboratory DirectorDr. Allan M. Wohl

Laboratory Phone(215) 464-2902

Laboratory LocationPinnacle Physicians Group9908 Roosevelt Boulevard, Philadelphia, PA 19115

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDEPENDENT PHYSICIANS MEDICAL CENTER, LLC

Radiology (Diagnostic Radiology)