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Organization
STAT RADIOLOGY LLC
Active
Organization
STAT RADIOLOGY LLC
Active
Other names
Hooper Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRU UDAY JAIN M.D. (MEDICAL DIRECTOR)
(732) 364-9565
Entity
Organization
Contact information
Practice address
1314 HOOPER AVE, TOMS RIVER, NJ 08753-2975
(732) 240-6606
Mailing address
1166 RIVER AVE, SUITE 102, LAKEWOOD, NJ 08701-5600
(732) 364-6004
(732) 364-1908
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH4391
RAILROAD
NJ
Enumeration date
03/06/2007
Last updated
07/16/2008
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