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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