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Organization
1450 ASSOCIATES, LLC
Active
Organization
1450 ASSOCIATES, LLC
Active
Other names
Center for Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SATISH SHAH MD (MANAGING MEMBER)
(856) 794-1700
Entity
Organization
Contact information
Practice address
1450 E. CHESTNUT AVE, BLDG 4, VINELAND, NJ 08361-8467
(856) 794-1700
(856) 794-2671
Mailing address
1450 E. CHESTNUT AVE, BLDG 4, VINELAND, NJ 08361-8467
(856) 794-1700
(856) 794-2671
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
23263
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000441401
AMERICHOICE
—
01
—
077
CARECORE/HEALTHNET
—
01
—
1156711
HORIZON NJ HEALTH
—
01
—
16802
AMERIGROUP
—
01
—
2237566000
AMERIHEALTH
—
01
—
2K3084
HEALTHNET
—
05
—
8667802
—
NJ
01
—
A2891314
OXFORD
—
01
—
CJ3996
RAILROAD MEDICARE
NJ
01
—
S036559
CIGNA/AIM
—
Enumeration date
05/26/2006
Last updated
08/17/2018
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