Provider Demographics
NPI:1922167105
Name:RADIOLOGY CENTER AT HARDING INC
Entity Type:Organization
Organization Name:RADIOLOGY CENTER AT HARDING INC
Other - Org Name:ANN M MOORE MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PREETHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLARISETTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-673-6355
Mailing Address - Street 1:1201 MOUNT KEMBLE AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6628
Mailing Address - Country:US
Mailing Address - Phone:908-221-0603
Mailing Address - Fax:908-221-0631
Practice Address - Street 1:1201 MOUNT KEMBLE AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6628
Practice Address - Country:US
Practice Address - Phone:908-221-0603
Practice Address - Fax:908-221-0631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty