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

Wisteria Imaging Institute, LLC

Organization Diagnostic Radiology Physician · NPI 1255113965

Wisteria Imaging Institute, LLC is a Diagnostic Radiology Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
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

2835 W Cheltenham Ave Ste 312
Philadelphia, PA 19150
Phone: (860) 262-4489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1255113965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Addo — Owner · (860) 262-4489
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 16, 2023
Mailing address601 Apalachee Dr Ne, St Petersburg, FL 33702-2766

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