University Imaging Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

22413 Issued in NJ

Legal business name

UNIVERSITY IMAGING CENTER, LLC

Practice address

13 W Ormond Ave
Cherry Hill, NJ 08002-3041

Phone

(856) 616-9400

Fax

(856) 616-9107

NPI assigned

Aug 6, 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

Ms. Louise Pernell

Title

Credentialing

Phone

(856) 692-1198

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University Imaging Center of Cherry Hill Doing business as

Part of

University Imaging Center

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1679764583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083621210",
            "telephone_number": "856-692-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W ORMOND AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023041",
            "telephone_number": "856-616-9400",
            "fax_number": "856-616-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY IMAGING CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY IMAGING CENTER, LLC",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "PERNELL",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "856-692-1198",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148466",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Imaging Center of Cherry Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Allen Ung
• Calli Ungerleider
• Unity Place Das Program
• Unity Place Das Program
• Unity Place I
• University Radiology at Cooper, LLC
• Unlimited Productivity Associates
• Unlimited Productivity Associates
• Sophia Rose Ursino, RD
• US National Medical Supply LLC

• Radiology Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, 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.