Provider Demographics
NPI:1821494501
Name:1450 ASSOCIATES, LLC
Entity Type:Organization
Organization Name:1450 ASSOCIATES, LLC
Other - Org Name:CENTER FOR DIAGNOSTIC IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SATISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-794-1700
Mailing Address - Street 1:1450 E CHESTNUT AVE
Mailing Address - Street 2:BLDG 4
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-8467
Mailing Address - Country:US
Mailing Address - Phone:856-794-1700
Mailing Address - Fax:856-794-2671
Practice Address - Street 1:1450 E CHESTNUT AVE
Practice Address - Street 2:BLDG 4
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-8467
Practice Address - Country:US
Practice Address - Phone:856-794-1700
Practice Address - Fax:856-794-2671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies