Prime Radiology, Llc
LBN: Prime Radiology, Llc
Prime Radiology, Llc is an health care organization with primary practice located at 111 Central Ave , Newark NJ 07102-1909. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Radiological Physics. Allopathic & Osteopathic Physicians / Body Imaging is the primary health care specialty.
Prime Radiology, Llc can be contacted via phone (973) 877-5287, or through Mody, Suresh P via phone (973) 877-5287.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | New Jersey | |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | New Jersey | |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | New Jersey | |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | New Jersey | |
| Allopathic & Osteopathic Physicians / Radiological Physics | 2085R0205X | New Jersey |
Profile Details
| NPI number | 1164437547 |
|---|---|
| LBN Legal business name | Prime Radiology, Llc |
| DBA Doing business as | |
| Authorized official | Mody, Suresh P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
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 | 1164437547 | NPPES |
| New Jersey | MEDICAID | 8112304 | |
| New Jersey | Other | 1171435 | |
| New Jersey | Other | 0095270001 | |
| New Jersey | Other | 1943299 | |
| New Jersey | Other | J11285 | |
| New Jersey | Other | CG5834 | |
| New Jersey | Other | A2021347 | |
| New Jersey | Other | WT154 |
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