| Organization Name: | 1450 ASSOCIATES, LLC |
| NPI Number: | 1083660179 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SATISH SHAH (MANAGING MEMBER) |
| Mailing Address: | 1450 E. Chestnut Ave Bldg 4 Vineland |
| State: | NJ US |
| Postal Code: | 083618467 |
| Phone Number: | 8567941700 |
| Fax Number: | 8567942671 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 23263 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |