JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC NPI 1578512224

NPI Information

NPI: 1578512224
Provider Name: JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC

Doing Business As: JEFFERSON OUTPATIENT IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
850 WALNUT ST
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 503-4900
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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 1578512224. 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:

850 WALNUT ST
PHILADELPHIA, PA
ZIP 19107-102
Phone: (215) 503-4900
Fax: (215) 503-4920

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 enumeration date for this NPI number is 5/9/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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
1	001462197	OTHER	PENNSYLVANIA	BLUE CROSS
2	0078124910002	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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