Jefferson Outpatient Imaging
LBN: Jefferson University Radiology Associates, Llc
Jefferson Outpatient Imaging is an health care organization with primary practice located at 1 W Germantown Pike , East Norriton PA 19401-1513. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty.
Jefferson University Radiology Associates, Llc can be contacted via phone (615) 277-3202, or through King, William Cannon via phone (615) 846-7733.
Contact Information
Primary practice address
1 W Germantown Pike
East Norriton PA 19401-1513
Phone: (615) 277-3202
Fax: (610) 277-9640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Laboratories / Physiological Laboratory | 293D00000X |
Profile Details
| NPI number | 1902114168 |
|---|---|
| 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 | Yes |
| Enumeration date | Sep 21st, 2010 |
| 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 | 1902114168 | NPPES |
| New Jersey | Other | 255184 | MEDICARE IDTF (MOBILE PET/CT) |
| New Jersey | Other | 205517 | MEDICARE IDTF (MOBILE PET/CT) |
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