A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI Number | 1902114168 |
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| LBN Legal business name | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC | ||||||||
| Authorized official | AMY STOUT - (PRESIDENT/CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 09/21/2010 | ||||||||
| Last updated | 10/21/2024 - More than a year ago | ||||||||
| Identifiers |
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