Reliant Radiology, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA05144800 Issued in NJ

Legal business name

RELIANT RADIOLOGY, LLC

Practice address

1601 N 2ND St
Suite A1
Millville, NJ 08332-1924

Phone

(856) 794-2337

NPI assigned

Feb 22, 2008

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Dauito, MD

Title

Ceo

Phone

(856) 794-2337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1134398274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N 2ND ST",
            "address_2": "SUITE A1",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N 2ND ST",
            "address_2": "SUITE A1",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321924",
            "telephone_number": "856-794-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "DAUITO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-794-2337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05144800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.