JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC NPI 1063067635

NPI Information

JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC is a diagnostic radiology radiology in Philadelphia, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC NPI is 1063067635. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jefferson Outpatient Imaging.

The provider's business location address is:

3 CRESCENT DR STE 1002
PHILADELPHIA, PA
ZIP 19112-016
Phone: (215) 503-4900
Fax: (215) 503-4921

The provider's authorized official is William Cannon King .
The authorized official title is Ceo and has the following contact phone number (615) 846-7733.

The CLIA number assigned to this NPI record is 39D2019059 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/9/2019 and was last updated on 11/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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