Lacey Diagnostic Imaging, Llc.

NPI 1245235407 - Radiology - 2085R0202X

NPI Details
NPI 1245235407
Enumeration Date 06/15/2005
Last Updated 03/16/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOHN JOHN
Position DIRECTOR/OWNER/ACTIVE, ATTENDING
Phone (609) 242-2334
Fax (609) 242-2402
Practice Location
833 LACEY ROAD
FORKED RIVER NJ, 08731-1200, US
Phone (609) 242-2334
Fax (609) 242-2402
Business Location
833 LACEY RD
FORKED RIVER NJ, 08731-1200, US
Phone (609) 242-2334
Fax (609) 242-2402
Toxanomy
Taxonomy Code 2085R0202X
License State New Jersey
License Number 25MA05392200
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According to our database, Lacey Diagnostic Imaging, Llc. NPI is 1245235407, taxonomy code is 2085R0202X and license number is 25MA05392200, license state is located at New Jersey. Lacey Diagnostic Imaging, Llc. physically located at 833 Lacey Road, Forked River NJ, 08731-1200. NPI Number 1033115704 has the healthcare provider type.

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1245235407 NPI number is provided on an as is basis without warranty of any kind. 1245235407 is maintained by the National Plan & Provider Enumeration System. The contents of Lacey Diagnostic Imaging, Llc. are for informational purposes only.