Atlantic Diagnostic Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ATLANTIC DIAGNOSTIC IMAGING CENTER LLC

Practice address

1801 New Rd Ste a
Linwood, NJ 08221-1036

Phone

(856) 864-1810

Fax

(856) 864-1820

NPI assigned

Oct 6, 2022

Organization subpart

No

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

Authorized official

Name

Nazish Khan

Title

Ceo

Phone

(856) 864-1810

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1588389019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NEW RD STE A",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211036",
            "telephone_number": "856-864-1810",
            "fax_number": "856-864-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NEW RD STE A",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211036",
            "telephone_number": "856-864-1810",
            "fax_number": "856-864-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DIAGNOSTIC IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NAZISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-864-1810"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.4adimaging.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1801 New Rd Ste A",
            "city": "Linwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082211036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@4adimaging.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1801 New Rd Ste A",
            "city": "Linwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082211036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Radiology Clinic/Center in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.