CENTENNIAL SURGUNIT LLC NPI 1225293087

NPI Information

NPI: 1225293087
Provider Name: CENTENNIAL SURGUNIT, LLC

Doing Business As: CENTENNIAL SURGERY CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
502 CENTENNIAL BLVD
SUITE 1
VOORHEES, NJ
ZIP 08043
Phone: (856) 874-0790
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CENTENNIAL SURGUNIT, LLC is a radiology clinic center in Voorhees, NJ. CENTENNIAL SURGUNIT, LLC NPI is 1225293087. The provider is registered as an organization entity type.
The provider Is Doing Business As Centennial Surgery Center.

The provider's business location address is:

502 CENTENNIAL BLVD
SUITE 1
VOORHEES, NJ
ZIP 08043-544
Phone: (856) 874-0790
Fax: (856) 741-1182

The provider's authorized official is Margaret T Atkinson .
The authorized official title is Business Manager and has the following contact phone number (856) 874-0790.

The CLIA number assigned to this NPI record is 31D0965764 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.

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
1	261QR0200X	Clinic/Center	Radiology	22835	NEW JERSEY	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	042396	MEDICARE PIN	NEW JERSEY
2	8084009	MEDICAID	NEW 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

NPI Synchronization or Removal

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