Sovereign Health Imaging, Llc in Carlstadt - In Vivo & In Vitro Nuclear Medicine

Sovereign Health Imaging, Llc - NPI 1316997893

Sovereign Health Imaging, Llc is a In Vivo & In Vitro Nuclear Medicine in Carlstadt, New Jersey. Sovereign Health Imaging, Llc practices all healthcare services and medical treatments related to In Vivo & In Vitro Nuclear Medicine. The NPI Number for Sovereign Health Imaging, Llc is 1316997893. The last update date is 2018-06-16.

Sovereign Health Imaging, Llc's current location address is 630 Broad Street, Carlstadt, New Jersey. You can contact this provider via phone number 2013721020 and fax number 2013721028. The mailing address for Sovereign Health Imaging, Llc is 630 Broad Street, Carlstadt, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sovereign Health Imaging, Llc
Address 630 Broad Street, Carlstadt, New Jersey
Phone Number 2013721020
Fax Number 2013721028
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Hajjar H John
Credentials MD
Telephone Number 2017914544

NPI Number Detail

NPI Number 1316997893
Provider Enumeration Date 2006-05-12
Last Updated Date 2018-06-16

Provider Mailing Address Detail

Address 630 Broad Street
City Carlstadt
State New Jersey (NJ)
Post Code 70720468
Phone Number 2013721020
Fax Number 2013721028

Provider's Primary Taxonomy Detail

Speciality In Vivo & In Vitro Nuclear Medicine
Taxonomy 207Un0903X
Definition:
A nuclear medicine physician who specializes in in vivo and in vitro nuclear medicine.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
475214306 TAX ID
133311 NJ --

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FAQs about Sovereign Health Imaging, Llc

What is the unique provider identifier assigned to Sovereign Health Imaging, Llc?

The Sovereign Health Imaging, Llc has been issued the NPI (National Provider Identifier) 1316997893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Sovereign Health Imaging, Llc's facilities are situated?

The facilities of Sovereign Health Imaging, Llc are physically located at the following address: 630 Broad Street, Carlstadt, NJ, 70720468.

What is Sovereign Health Imaging, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Sovereign Health Imaging, Llc is In Vivo & In Vitro Nuclear Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Un0903X.

On what date did the Centers for Medicare & Medicaid Services assign the 1316997893 to Sovereign Health Imaging, Llc?

The Centers for Medicare & Medicaid Services assigned the 1316997893 to Sovereign Health Imaging, Llc on 2006-05-12.

As of what date was the information regarding Sovereign Health Imaging, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sovereign Health Imaging, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-06-16.

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