Excalibur Medical Imaging, Pa

LBN: Excalibur Medical Imaging, Pa
Excalibur Medical Imaging, Pa is an health care organization with primary practice located at 710 Dominion Dr , Moorestown NJ 08057-4404. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Excalibur Medical Imaging, Pa can be contacted via phone (856) 482-2900, or through Greene, Arthur J via phone (856) 482-2900.

Contact Information

Primary practice address
710 Dominion Dr Moorestown NJ 08057-4404
Fax: (856) 482-5127
Website:
Authorized official contact:
Name: Greene, Arthur J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New Jersey

Profile Details

NPI number 1417958935
LBN Legal business name Excalibur Medical Imaging, Pa
DBA Doing business as
Authorized official Greene, Arthur J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417958935 NPPES
New Jersey MEDICAID 3860507

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