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COASTALSPINE RADIOLOGY NPI 1255529343


NPI Information

NPI: 1255529343
Provider Name: COASTALSPINE RADIOLOGY

Doing Business As: FELLOWSHIP IMAGING

Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
715 B FELLOWSHIP ROAD
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 222-4444
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COASTALSPINE RADIOLOGY is a magnetic resonance imaging radiologic technologist in Mount Laurel, NJ. The provider is a radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care. COASTALSPINE RADIOLOGY NPI is 1255529343. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fellowship Imaging.

The provider's business location address is:

715 B FELLOWSHIP ROAD
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 222-4444
Fax: (856) 222-4733

The provider's authorized official is Marguerite Zoltek .
The authorized official title is Billing Director and has the following contact phone number (856) 222-4444.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 8/22/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471M1202XRadiologic TechnologistMagnetic Resonance ImagingNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1124482MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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