Sam Radiology Services Llc

LBN: Sam Radiology Services Llc
Sam Radiology Services Llc is an health care organization with primary practice located at 66 Tanner St , Haddonfield NJ 08033-2419. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier is the primary health care specialty. Sam Radiology Services Llc can be contacted via phone (856) 507-9512, or through Golestaneh, Fazlollah via phone (856) 507-9512.

Contact Information

Primary practice address
66 Tanner St Haddonfield NJ 08033-2419
Phone: (856) 507-9512
Fax: (856) 507-9516
Website:
Map and Directions
Authorized official contact:
Name: Golestaneh, Fazlollah Doctor of Medicine (MD)
Phone: (856) 507-9512

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 25MA03109900 New Jersey
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 25MA03109900 New Jersey

Profile Details

NPI number 1295967453
LBN Legal business name Sam Radiology Services Llc
DBA Doing business as
Authorized official Golestaneh, Fazlollah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2009
Last updated Aug 20th, 2009 - about 15 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 1295967453 NPPES
New Jersey MEDICAID 2323206

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