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Organization

UNIVERSITY IMAGING CENTER, LLC

Active
Parent organization
UNIVERSITY IMAGING CENTER, LLC
Other names
University Imaging Center of Cherry Hill
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY IMAGING CENTER, LLC
Authorized official
MS. LOUISE PERNELL (CREDENTIALING)
(856) 692-1198
Entity
Organization

Contact information

Practice address
13 W ORMOND AVE, CHERRY HILL, NJ 08002-3041
(856) 616-9400
(856) 616-9107
Mailing address
PO BOX 1210A, VINELAND, NJ 08362-1210
(856) 692-1198

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22413
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0148466
NJ
Enumeration date
08/06/2007
Last updated
08/27/2008
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