institution
Sovereign Health Imaging, Llc
Radiology Clinic/Center in Carlstadt, New Jersey
NPI 1932571593

Sovereign Health Imaging, Llc is a Radiology Clinic/Center based in Glen Rock, NJ and is specialized in Radiology. Sovereign Health Imaging, Llc practices in Carlstadt, NJ. The NPI Number for Sovereign Health Imaging, Llc is 1932571593 and holds a License No. (New Jersey).

The current practice location address for Sovereign Health Imaging, Llc is 630 Broad St, Carlstadt, NJ and can be reached out via phone at 201-372-1020 and via fax at 201-372-1028.

Location: 630 Broad St, Carlstadt, NJ, 07452-3329
institution
Provider Profile Details
NPI Number
1932571593
Provider Name
Sovereign Health Imaging, Llc
Credential
Provider Entity Type
Organization
Address
630 Broad St, Carlstadt, NJ, 07452-3329
Phone Number
201-372-1020
Fax Number
201-372-1028
Provider Enumeration Date
10/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1254002 01 NJ WELLCARE
60174608 01 NJ HORIZON NJ HEALTH
institution
Provider Business Practice Location Address Details
Address
630 Broad St
City
State
Zip
07072-1169
Phone Number
201-372-1020
Fax Number
201-372-1028
person
Provider Business Mailing Address Details
Address
630 Broad St
City
State
Zip
07072-1169
Phone Number
201-372-1020
Fax Number
201-372-1028
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
()
Definition
Definition to come...
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