Organization · Type 2 NPI

Jefferson University Radiology Associates, LLC

Radiology Clinic/Center · Marlton, NJ

NPI number 1972169902 Active

Practice location

999 NJ-73, # 101
Marlton, NJ 08053

Call (856) 424-2929 Map

Mailing address

800 Crescent Centre Dr Ste 400
Franklin, TN 37067-7270

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician	2085R0202X	None listed
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1972169902
Entity type: Organization (Type 2)
Issued: May 15, 2019
Last updated: Dec 16, 2025
Status: Active

Other names

<unavail>
Jefferson Outpatient Imaging · doing business as
Jefferson Outpatient Imaging · doing business as

Authorized official

Amy Stout
President/ceo
(615) 261-2306

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972169902

Jefferson University Radiology Associates, LLC's National Provider Identifier is 1972169902, issued on May 15, 2019. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Marlton, NJ. The record was last updated on Dec 16, 2025.