Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast PET Imaging, LLC

Organization Clinic/Center · NPI 1154342368

Northeast PET Imaging, LLC is a Clinic/Center in Philadelphia, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8400 Roosevelt Blvd Ste 208
Philadelphia, PA 19152-2012
Phone: (215) 335-4600
Fax: (215) 335-4909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1154342368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Miller — Owner · (215) 335-4600
Other names Northeast P.E.T Imaging
NPI enumeratedJuly 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8400 Roosevelt Blvd, Suite 208, Philadelphia, PA 19152-2012

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