JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC NPI 1972169902

NPI Information

  • NPI: 1972169902
  • Provider Name: JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: JEFFERSON OUTPATIENT IMAGING
  • Address: 999 NJ-73
    # 101
    MARLTON, NJ
    ZIP 08053
  • Phone: (856) 424-2929

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NPI Details

JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC is a diagnostic radiology radiology in Marlton, NJ. 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 1972169902. 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:

999 NJ-73
# 101
MARLTON, NJ
ZIP 08053
Phone: (856) 424-2929

The provider's authorized official is Amy Stout .
The authorized official title is President/ceo and has the following contact phone number (615) 261-2306.

The enumeration date for this NPI number is 5/15/2019 and was last updated on 10/21/2024.

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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