Organization Active NPI

Lacey Diagnostic Imaging, LLC.

  • Diagnostic Radiology Physician
  • Forked River, NJ
National Provider Identifier
1245235407
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA05392200 Issued in NJ
Legal business name
LACEY DIAGNOSTIC IMAGING, LLC.
Practice address
833 Lacey Road
Forked River, NJ 08731-1200
Phone
(609) 242-2334
Fax
(609) 242-2402
NPI assigned
Jun 15, 2005
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
John Harrigan, M.D.
Title
Director/Owner/Active, Attending
Phone
(609) 242-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA05392200 NJ Primary

Addresses

Primary practice location

833 Lacey Road
Forked River, NJ 08731-1200

Mailing address

833 Lacey Rd
Forked River, NJ 08731-1200
Phone (609) 242-2334

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1245235407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311200",
            "telephone_number": "609-242-2334",
            "fax_number": "609-242-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 LACEY ROAD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311200",
            "telephone_number": "609-242-2334",
            "fax_number": "609-242-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY DIAGNOSTIC IMAGING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "HARRIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER/ACTIVE, ATTENDING",
        "authorized_official_telephone_number": "609-242-2334",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05392200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.