LARCHMONT IMAGING ASSOCIATES – NPI #1710932603
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

LARCHMONT IMAGING ASSOCIATES is a radiologist located in MOUNT LAUREL, NJ. NPPES has assigned the NPI number 1710932603 to LARCHMONT IMAGING ASSOCIATES on May 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Oct 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARCHMONT IMAGING ASSOCIATES below.

NPI Profile for
LARCHMONT IMAGING ASSOCIATES

NPI Number
1710932603
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LARCHMONT IMAGING ASSOCIATES
Primary location
210 ARK RD
MOUNT LAUREL, NJ 08054-3188
Phone: (609) 261-4500 Fax:
Mailing address
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 28202-2742
Phone: Fax:
Organization Subpart
No
Authorized Official
TIFFANY FOGLE
MANAGER OF CREDENTIALING
Phone: (919) 763-1112
Updated
Certification Date
Oct 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LARCHMONT IMAGING ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNJ3226905
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.