PENNSAUKEN DIAGNOSTIC CENTER LLC (NPI# 1760733109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760733109 |
| Entity Type | Organization |
| Organization Name | PENNSAUKEN DIAGNOSTIC CENTER LLC |
| Practice Address |
6027 S Crescent Blvd Pennsauken NJ 08110-6401 |
| Practice Telephone | 2039134226 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | MISS SHAZEEN ALI (CEO) |
| Authorized Official Telephone | 2039134226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Street Address |
6027 S CRESCENT BLVD |
| City | PENNSAUKEN |
| State | NJ |
| Zip Code | 08110-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982063541 | Bathsheba Swain | Community Based Residential Treatment Facility, Mental Illness | 2217 43rd St, Pennsauken, NJ 08110 | 2016-02-11 |
| 1255752754 | Pegasus The Arts, Inc. | Day Training, Developmentally Disabled Services | 2830 Marlton Pike, Pennsauken, NJ 08110 | 2013-12-31 |
| 1508021643 | Senior Management IIi LLC | Assisted Living Facility | 7999 Rt 130 North, Pennsauken, NJ 08110 | 2008-07-28 |
| 1023292042 | Top Rank Home Care LLC | Home Health | 4610u Westfield Ave, Pennsauken, NJ 08110 | 2007-12-27 |
| 1508920794 | Aurangzaib Khan | Dentist | 5517 Westfield Ave, Pennsauken, NJ 08110 | 2006-12-21 |
| 1760542518 | Jo Ann Donna Pecca | Family Medicine | Worknet Occupational Medicine, 9370 Rt. 130 N., Ste 200, Pennsauken, NJ 08110 | 2006-12-11 |
| 1619982600 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4601 Westfield Ave, Pennsauken, NJ 08110 | 2006-07-29 |
| 1447205968 | Pennsauken Imaging, LLC | Radiology | 6027 Route 130 South, Pennsauken, NJ 08110 | 2006-05-23 |
| 1972735116 | South Jersey Primary Care Physicians & Rehabilitation Center P.C. | Chiropractor | 3801 Marlton Pike, Pennsauken, NJ 08110 | 2009-08-21 |
| 1366946915 | Edwin Javier Rodriguez | Registered Nurse | 2136 Cove Road Pennsuaken, Pennsuaken, NJ 08110-0811 | 2018-03-20 |
| Find all providers in zip 08110 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437702131 | South Plainfield Radiology Corp | Clinic/Center | 116 Corporate Blvd Ste D, South Plainfield, NJ 07080-2437 | 2019-07-22 |
| 1386193324 | Paramus Mri LLC | Clinic/Center | 30 W. Century Rd., Paramus, NJ 07652 | 2016-10-03 |
| 1790112035 | Jersey Advanced Mri & Diagnostic Center Inc | Clinic/Center | 2127 Kennedy Blvd, North Bergen, NJ 07047-2018 | 2013-10-01 |
| 1942555131 | Jersey Advanced Mri and Diagnostic Center | Clinic/Center | 1 Kathleen Dr, Suite 4, Jackson, NJ 08527-2276 | 2012-07-13 |
| 1174892749 | North Hudson Radiology | Clinic/Center | 2100 Summit Ave, Union City, NJ 07087-2127 | 2011-12-27 |
| 1891099362 | Columbus Imaging Center LLC | Clinic/Center | 481-495 North 13th Street, Newark, NJ 07107-1317 | 2010-12-27 |
| 1528371275 | East Brunswick Imaging Associates LLC | Clinic/Center | 647 Route 18 Ste W, East Brunswick, NJ 08816-3747 | 2010-07-23 |
| 1518293638 | Columbus Imaging Center LLC | Clinic/Center | 481 N 13th St, Newark, NJ 07107-1317 | 2009-10-23 |
| 1437376852 | Jai Ramji LLC | Clinic/Center | 1092 Stelton Rd, Piscataway, NJ 08854-5201 | 2007-04-19 |
| 1871665141 | Chatham Medical Resources, Inc. | Clinic/Center | 188 Route 10 W, East Hanover, NJ 07936 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
| City | PENNSAUKEN |
| Zip Code | 08110 |
Please comment or provide details below to improve the information on PENNSAUKEN DIAGNOSTIC CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.