University Imaging Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

UNIVERSITY IMAGING CENTER, LLC

Doing business as

University Women's Imaging

Practice address

1051 W Sherman Ave
Suite 4a
Vineland, NJ 08360-6931

Phone

(856) 692-2133

Fax

(856) 692-3427

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Louise Pernell

Title

Billing Manager

Phone

(856) 692-1198

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University Women's Imaging Doing business as

Locations

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1649461385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE",
            "address_2": "STE 4A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-692-2133",
            "fax_number": "856-692-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE",
            "address_2": "SUITE 4A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-692-2133",
            "fax_number": "856-692-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "PERNELL",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "856-692-1198"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151548",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Women's Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Vineland, NJ
• Providers in Vineland, 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 Aug 27, 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.