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Organization

JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY STOUT (PRESIDENT/CEO)
(615) 261-2306
Entity
Organization

Contact information

Practice address
10160 BUSTLETON AVE STE E, PHILADELPHIA, PA 19116-3749
(215) 503-4900
(215) 503-4921
Mailing address
800 CRESCENT CENTRE DR STE 400, FRANKLIN, TN 37067-7270
(615) 261-2306
(855) 588-3545

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
11/13/2020
Last updated
12/16/2025
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