Organization · Type 2 NPI
Lacey Diagnostic Imaging, Llc.
Diagnostic Radiology Physician · Forked River, NJ
NPI number
1245235407
Active
Practice location
833 Lacey Road
Forked River, NJ 08731-1200
Fax (609) 242-2402
Mailing address
833 Lacey Rd
Forked River, NJ 08731-1200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 25MA05392200 (NJ) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1245235407
Lacey Diagnostic Imaging, Llc.'s National Provider Identifier is 1245235407, issued on Jun 15, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Forked River, NJ. The record was last updated on Mar 16, 2010.