Prime Radiology, Llc in Newark - Body Imaging
Prime Radiology, Llc - NPI 1164437547
Prime Radiology, Llc is a Body Imaging in Newark, New Jersey. Prime Radiology, Llc practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Prime Radiology, Llc is 1164437547. The last update date is 2022-07-21.
Prime Radiology, Llc's current location address is 111 Central Ave, Newark, New Jersey. You can contact this provider via phone number 9738775287. The mailing address for Prime Radiology, Llc is 111 Central Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prime Radiology, Llc |
|---|---|
| Address | 111 Central Ave, Newark, New Jersey |
| Phone Number | 9738775287 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mody P Suresh |
| Credentials | MD |
| Telephone Number | 9738775287 |
NPI Number Detail
| NPI Number | 1164437547 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 111 Central Ave |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71021909 |
| Phone Number | 9738775287 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8112304 | NJ | -- | |
| 1171435 | NJ | HORIZON NJ HEALTH | |
| 95270001 | NJ | AMERIHEALTH | |
| 1943299 | NJ | UNITED HEALTH CARE | |
| J11285 | NJ | HEALTH NET | |
| CG5834 | NJ | RAILROAD MEDICARE | |
| A2021347 | NJ | OXFORD | |
| WT154 | NJ | WELLCHOICE |
Post Comment/ Review Below
What is the Prime Radiology, Llc's unique identification number?
The Prime Radiology, Llc has been assigned the NPI (National Provider Identifier) Number 1164437547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Prime Radiology, Llc's facilities are situated?
The facilities of Prime Radiology, Llc are physically located at the following address: 111 Central Ave, Newark, NJ, 71021909.
What is the Prime Radiology, Llc's specialty and taxonomy code?
The Prime Radiology, Llc's specialty is Body Imaging, and the corresponding taxonomy code is 2085B0100X.
When was the Prime Radiology, Llc's 1164437547 issued?
The Prime Radiology, Llc's 1164437547 was issued on 2006-07-31.
As of what date was the information regarding Prime Radiology, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prime Radiology, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.