| Organization Name: | UNIVERSITY IMAGING CENTER, LLC |
| NPI Number: | 1023202033 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LOUISE PERNELL (BILLING) |
| Mailing Address: | 66 Tanner St Haddonfield |
| State: | NJ US |
| Postal Code: | 080332419 |
| Phone Number: | 8562160294 |
| Fax Number: | 8562160299 |
| NPI Enumeration Date: | 09/03/2007 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 23321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |