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

Primary practice address
111 Central Ave Newark NJ 07102-1909
Fax:
Website:
Authorized official contact:
Name: Mody, Suresh P Doctor of Medicine (MD)

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 2 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.

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Identifiers

StateTypeNumberIssuer
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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