Organization
UNIVERSITY IMAGING CENTER, LLC
Active
Other names
University Women's Imaging
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, SUITE 4A, VINELAND, NJ 08360-6931
(856) 692-2133
(856) 692-3427
Mailing address
1051 W SHERMAN AVE, STE 4A, VINELAND, NJ 08360-6931
(856) 692-2133
(856) 692-3427
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151548
—
NJ
Enumeration date
08/07/2007
Last updated
08/27/2008
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