JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC (NPI# 1902114168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902114168 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC |
| Other Organization Name | JEFFERSON OUTPATIENT IMAGING |
| Practice Address |
1 W Germantown Pike East Norriton PA 19401-1513 |
| Mailing Address |
840 Crescent Centre Dr Suite 200 Franklin TN 37067-4626 |
| Practice Telephone | 6152773202 |
| Practice Fax Number | 6102779640 |
| Mailing Telephone | 6155506049 |
| Mailing Fax Number | 6155506004 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | MRS. WILLIAM PERRY BAKER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6155506049 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE IDTF (MOBILE PET/CT) | 205517 | 01 |
| NJ | MEDICARE IDTF (MOBILE PET/CT) | 255184 | 01 |
| Other Name | Type Code |
|---|---|
| Jefferson Outpatient Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1710492764 | Jefferson University Radiology Associates, LLC | Radiology | 650 Carnegie Boulevard, Malvern, PA 19355-1935 | 2017-12-12 |
| 1104376797 | Jefferson University Radiology Associates, LLC | Radiology | 9601 Bustleton Ave, Philadelphia, PA 19115-3810 | 2016-10-07 |
| 1083907364 | Jefferson University Radiology Associates, LLC | Radiology | 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2011-05-19 |
| 1144559444 | Jefferson University Radiology Associates, LLC | Radiology | 470 John Young Way, Suite #100, Exton, PA 19341-2557 | 2009-12-15 |
| 1275718561 | Jefferson University Radiology Associates, LLC | Radiology | 170 N Henderson Rd, Suites 103 & 104, King of Prussia, PA 19406-2155 | 2008-01-04 |
| Street Address |
1 W GERMANTOWN PIKE |
| City | EAST NORRITON |
| State | PA |
| Zip Code | 19401-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083907364 | Jefferson University Radiology Associates, LLC | Radiology | 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384711 | Ankush Kumar Gupta | Student in an Organized Health Care Education/Training Program | Suburban Community Hospital, Graduate Medical Education, 2701 Dekalb Pike, Norristown, PA 19401 | 2020-04-09 |
| 1780212100 | Aemen Shams Khakwani | Student in an Organized Health Care Education/Training Program | 2701 Dekalb Pike, Graduate Medical Education Office, Norristown, PA 19401 | 2020-03-31 |
| 1073085502 | Real Care Assistance | Technician | 509 Noble St, Norristown, PA 19401 | 2018-12-21 |
| 1275010456 | A One Dental Care PC | Dentist | 11 West Lafayette St, Norristown, PA 19401 | 2018-07-20 |
| 1538677620 | Gianna Center of Philadelphia | Obstetrics & Gynecology | 2701 Dekalb Pike Ste 207, East Norriton, PA 19401 | 2018-01-11 |
| 1316476716 | Valentina Savath | Dentist | 350 E Germantown Pike, East Norriton, PA 19401 | 2017-06-08 |
| 1255868782 | Kory M Collier | Occupational Therapist | 2751 Dekalb Pike, East Norrion, PA 19401 | 2017-05-15 |
| 1801246400 | Bh Brightview East Norriton Opco, LLC | Alzheimer Center (Dementia Center) | 300 E. Germantown Pike, East Norriton, PA 19401 | 2016-06-15 |
| 1437519881 | Heather Yzzi | Counselor | 13 Zummo Way, Norristown, PA 19401 | 2016-02-27 |
| 1306255286 | Christina Stengel Tabbut | Speech-Language Pathologist | 2751 Dekalb Pk., East Norriton, PA 19401 | 2014-08-05 |
| Find all providers in zip 19401 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
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| 1497160907 | Toxicity Assessors Global of Pennsylvania LLC | Physiological Laboratory | 5070 Parkside Ave Ste 2103, Philadelphia, PA 19131-4747 | 2014-06-23 |
| 1205135480 | Rmddxusa Corp | Physiological Laboratory | 100 Matsonford Rd, Three Radnor Corporate Center Suite 302, Radnor, PA 19087-4559 | 2011-03-27 |
| 1487954913 | American Diagnostics Services LLC | Physiological Laboratory | 101 Rock Rd, Horsham, PA 19044-2310 | 2010-11-01 |
| 1104084391 | Iyi | Physiological Laboratory | 6425 Tulip St, Philadelphia, PA 19135-3324 | 2008-05-25 |
| 1922281682 | Mobile Diagnostics Inc. | Physiological Laboratory | 310 Cottman St, Jenkintown, PA 19046-2821 | 2007-12-17 |
| 1467505982 | Monitors for Medicine Inc | Physiological Laboratory | 1524 Ridge Ave, Shillington, PA 19607-1425 | 2007-01-19 |
| 1790869402 | Cardionet, LLC | Physiological Laboratory | 1000 Cedar Hollow Road, Suite 120, Malvern, PA 19355 | 2006-10-25 |
| 1265548796 | Advanced Cardiac Monitoring, Inc. | Physiological Laboratory | 527 Cedar Way Bldg 2, Suite 103, Oakmont, PA 15139-2068 | 2006-08-21 |
| Find all providers with the same taxonomy | ||||
| City | EAST NORRITON |
| Zip Code | 19401 |
Please comment or provide details below to improve the information on JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, 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.