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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 Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC

NPI Number 1902114168
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
NJ Other 255184 MEDICARE IDTF (MOBILE PET/CT)
PA Other 205517 MEDICARE IDTF (MOBILE PET/CT)
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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