University Imaging Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

23321 Issued in NJ

Legal business name

UNIVERSITY IMAGING CENTER, LLC

Practice address

66 Tanner St
Haddonfield, NJ 08033-2419

Phone

(856) 216-0294

Fax

(856) 216-0299

NPI assigned

Sep 3, 2007

Organization subpart

Yes

Parent organization

UNIVERSITY IMAGING CENTER, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Louise Pernell

Title

Billing

Phone

(856) 692-1198

Specialties & licenses 1

Addresses

Other names 1

• University Imaging Center of Haddonfield Doing business as

Part of

University Imaging Center

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph Dauito, MD

  • Diagnostic Radiology Physician
  • Absecon, NJ
  • NPI 1073562872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1023202033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 TANNER ST",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332419",
            "telephone_number": "856-216-0294",
            "fax_number": "856-216-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 TANNER ST",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332419",
            "telephone_number": "856-216-0294",
            "fax_number": "856-216-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY IMAGING CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY IMAGING CENTER, LLC",
        "enumeration_date": "2007-09-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PERNELL",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "856-692-1198",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "23321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Imaging Center of Haddonfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Training Room of Haddonfield, LLC
• Travidc, LLC
• Sean Travis, LCSW
• Mary Ellen Turner, MD
• Lisa Twardzik, LPC
• Mary Christine Vallone, PT
• Mallory Vernacchio, DMD
• James W Vick, MD
• Ivana Vinnick, LPC
• Vitality Chiropractic and Wellness LLC

• All providers in Haddonfield, NJ
• Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.