| Organization Name: | PENNSAUKEN IMAGING, LLC |
| NPI Number: | 1447205968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF TUREK (OFFICE MANAGER) |
| Mailing Address: | 6027 Route 130 South Pennsauken |
| State: | NJ US |
| Postal Code: | 08110 |
| Phone Number: | 8566626161 |
| Fax Number: | 8566624311 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 05/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 23329 |
| 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. |