31D2245222 CLIA NUMBER - UNIVERSITY RADIOLOGY AT COOPER, LLC

Laboratory Demographics

CLIA Number: 31D2245222

Facility Name: UNIVERSITY RADIOLOGY AT COOPER, LLC

Facility Address:
2339 ROUTE 70 WEST
CHERRY HILL, NJ
ZIP 08002
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Facility Phone Number: 856 532-9644

Facility Type: Other - OUTPATIENT RADIOLOGY

Certificate Type: Waiver

NPI Number: 1669056248

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	31D2245222
LAB Type	Other - OUTPATIENT RADIOLOGY
Facility Name	UNIVERSITY RADIOLOGY AT COOPER, LLC
Street	2339 ROUTE 70 WEST
City	CHERRY HILL
State	NJ
ZIP	08002
Phone	856 532-9644
CertificateType	4
CertificateEffectiveDate	12/9/2023
CertificateExpirationDate	12/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024