National Provider Identifier Database

JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC
1 W GERMANTOWN PIKE
EAST NORRITON, PA19401-1513
Phone: 615-277-3202
Fax: 610-277-9640
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC

NPI Number 1902114168
Legal business name
LBN
JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC
Authorized official AMY STOUT - (PRESIDENT/CEO)
Entity Organization
Organization subpart Yes
Enumeration date 09/21/2010
Last updated 10/21/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NJ Other: 255184 MEDICARE IDTF (MOBILE PET/CT)
  • PA Other: 205517 MEDICARE IDTF (MOBILE PET/CT)

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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