Sovereign Health Imaging, Llc
LBN: Sovereign Health Imaging, Llc
Sovereign Health Imaging, Llc is an health care organization with primary practice located at 630 Broad St Lower Level, Carlstadt NJ 07072-1169. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty.
Sovereign Health Imaging, Llc can be contacted via phone (201) 372-1020, or through Hajjar, John H. via phone (201) 372-1020.
Contact Information
Primary practice address
630 Broad St Lower Level
Carlstadt NJ 07072-1169
Phone: (201) 372-1020
Fax: (201) 372-1028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1932571593 |
|---|---|
| LBN Legal business name | Sovereign Health Imaging, Llc |
| DBA Doing business as | |
| Authorized official | Hajjar, John H. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2015 |
| Last updated | Oct 12th, 2017 - about 7 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 | 1932571593 | NPPES |
| New Jersey | Other | 1254002 | WELLCARE |
| New Jersey | Other | 60174608 | WELLCARE |
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