Organization
UNIVERSITY IMAGING CENTER LLC
Active
Organization
UNIVERSITY IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE PERNELL (BILLING MANAGER)
(856) 692-1198
Entity
Organization
Contact information
Practice address
1051 W SHERMAN AVE, STE 2B, VINELAND, NJ 08360-6931
(856) 692-1198
(856) 692-1449
Mailing address
PO BOX 1210, VINELAND, NJ 08362-1210
(856) 692-1198
(856) 692-1449
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036692
—
NJ
Enumeration date
08/12/2006
Last updated
10/04/2007
Update your record
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