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

Wisteria Imaging Institute, LLC

Organization Diagnostic Radiology Physician · NPI 1255113965

Wisteria Imaging Institute, LLC provides Diagnostic Radiology Physician services 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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