Whalio Doctors

NPI 1295967453

Sam Radiology Services LLC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Haddonfield, NJ

Practice location

Address
66 Tanner St, Haddonfield, NJ 08033-2419
Phone
(856) 507-9512
Fax
(856) 507-9516

Authorised official

Name
Fazlollah Golestaneh
Title
Owner/President
Phone
(856) 507-9512

Registered specialties (2)

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary
Suppliers Taxonomy 335V00000X Licence 25MA03109900 (NJ)
Radiology Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0200X Licence 25MA03109900 (NJ)

Registry record

NPI
1295967453
Entity type
Organization
NPI issued
20 Aug 2009
Record last updated
20 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.