OrganizationActive
Independence Imaging, LLC
NPI 1396084497 · Radiology Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1396084497
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christine Hawkinson, Partner(215) 755-1076
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 Constitution Ave
Suite 120
Philadelphia, PA 19112-1329
Phone: (215) 755-1076
Fax: (215) 755-2167
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Constitution Ave
Philadelphia, PA 19112-1329
Registry dates
- Enumerated
- 2013-02-08
- Last updated
- 2014-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.