STAT RADIOLOGY LLC NPI 1821298647

NPI Information

  • NPI: 1821298647
  • Provider Name: STAT RADIOLOGY LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 1166 RIVER AVE
    SUITE 102
    LAKEWOOD, NJ
    ZIP 08701
  • Phone: (732) 364-6004

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NPI Details

STAT RADIOLOGY LLC is a radiology clinic center in Lakewood, NJ. STAT RADIOLOGY LLC NPI is 1821298647. The provider is registered as an organization entity type.

The provider's business location address is:

1166 RIVER AVE
SUITE 102
LAKEWOOD, NJ
ZIP 08701-600
Phone: (732) 364-6004
Fax: (732) 364-1908

The provider's authorized official is Mindy Beteta .
The authorized official title is Assistant Administrator and has the following contact phone number (732) 364-6004.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/16/2008.

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
1261QR0200XClinic/CenterRadiologyYes

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
1036727MEDICARE PINNEW JERSEY
2CH4391OTHERNEW JERSEYRAILROAD MEDICARE

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: 11/21/2025

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