Provider Demographics
NPI:1922188309
Name:MARGATE DIAGNOSTIC CENTER
Entity Type:Organization
Organization Name:MARGATE DIAGNOSTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-822-4800
Mailing Address - Street 1:9710 VENTNOR AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-2223
Mailing Address - Country:US
Mailing Address - Phone:609-822-4800
Mailing Address - Fax:609-822-2617
Practice Address - Street 1:9710 VENTNOR AVE
Practice Address - Street 2:
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402-2223
Practice Address - Country:US
Practice Address - Phone:609-822-4800
Practice Address - Fax:609-822-2617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Not Answered291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty