JACKSON VILLAGE IMAGING LLC NPI 1699163527

NPI Information

  • NPI: 1699163527
  • Provider Name: JACKSON VILLAGE IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: MERIDIAN IMAGING
  • CLIA Number: 31D2093197
  • Address: 27 S COOKS BRIDGE RD
    JACKSON, NJ
    ZIP 08527
  • Phone: (732) 671-6618

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NPI Details

JACKSON VILLAGE IMAGING, LLC is a diagnostic radiology radiology in Jackson, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JACKSON VILLAGE IMAGING, LLC NPI is 1699163527. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Meridian Imaging.

The provider's business location address is:

27 S COOKS BRIDGE RD
JACKSON, NJ
ZIP 08527-524
Phone: (732) 671-6618

The provider's authorized official is William Perry Baker .
The authorized official title is Secretary/cfo and has the following contact phone number (615) 550-6049.

The CLIA number assigned to this NPI record is 31D2093197 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 12/30/2014.

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
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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