# PENNSAUKEN DIAGNOSTIC CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PENNSAUKEN DIAGNOSTIC CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760733109
- **Legal business name:** PENNSAUKEN DIAGNOSTIC CENTER
- **Authorized official:** MRS. SHAZEEN ALI D.O (ADMINISTRATOR/CHIEF EXECUTIVE OFFIC)
- **Authorized official phone:** (856) 662-7581

## Contact information

- **Practice address:** 6027 SOUTH CRESCENT BLVD, PENNSAUKEN, NJ 08110-6401
- **Practice address phone:** (856) 662-7581
- **Practice address fax:** (856) 662-7584
- **Mailing address:** 6027 SOUTH CRESCENT BLVD, PENNSAUKEN, NJ 08110-6401
- **Mailing address phone:** (856) 662-7581
- **Mailing address fax:** (856) 662-7584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2012
- **Last updated:** 09/07/2023