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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 M.D. (PARTNER)
(856) 794-8664
Entity
Organization
Contact information
Practice address
1119 HIGHWAY 77, SUITE 2C, BRIDGETON, NJ 08302-3649
(856) 453-1555
(856) 453-0255
Mailing address
1550 E CHESTNUT AVE, BUILDING 4, SUITE C, VINELAND, NJ 08361-8485
(856) 794-8664
(856) 794-2671
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
23367
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000441402
AMERICHOICE
—
01
—
077
HEALTHNET/CARECORE
—
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
—
S992861
CIGNA/AIM
—
Enumeration date
05/26/2006
Last updated
08/22/2020
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