| Organization Name: | LACEY DIAGNOSTIC IMAGING, LLC. |
| NPI Number: | 1245235407 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN HARRIGAN (DIRECTOR/OWNER/ACTIVE, ATTENDING) |
| Mailing Address: | 833 Lacey Road Forked River |
| State: | NJ US |
| Postal Code: | 087311200 |
| Phone Number: | 6092422334 |
| Fax Number: | 6092422402 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 03/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 25MA05392200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |