Provider Demographics
NPI:1730068321
Name:EXPERT RADIOLOGY MANAGEMENT SERVICES LLC
Entity type:Organization
Organization Name:EXPERT RADIOLOGY MANAGEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AVERY
Authorized Official - Middle Name:JENNINGS
Authorized Official - Last Name:KNAPP
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:646-623-1020
Mailing Address - Street 1:CALLE 1 LOTE 7 SUITE 203
Mailing Address - Street 2:EDIFICIO METRO OFFICE PARK # 7
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CALLE 1 LOTE 7 SUITE 203
Practice Address - Street 2:EDIFICIO METRO OFFICE PARK # 7
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:415-900-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology