Jefferson Outpatient Imaging
LBN: Jefferson University Radiology Associates Llc
Jefferson Outpatient Imaging is an health care organization with primary practice located at 850 Walnut St , Philadelphia PA 19107-5102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Jefferson University Radiology Associates Llc can be contacted via phone (215) 503-4900, or through King, William Cannon via phone (615) 846-7733.
Contact Information
Primary practice address
850 Walnut St
Philadelphia PA 19107-5102
Phone: (215) 503-4900
Fax: (215) 503-4920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1578512224 |
|---|---|
| LBN Legal business name | Jefferson University Radiology Associates Llc |
| DBA Doing business as | Jefferson Outpatient Imaging |
| Authorized official | King, William Cannon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Nov 29th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578512224 | NPPES |
| Pennsylvania | Other | 001462197 | BLUE CROSS |
| Pennsylvania | MEDICAID | 0078124910002 | BLUE CROSS |
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