Provider Demographics
NPI:1457420788
Name:ABLE IMAGING, INC
Entity Type:Organization
Organization Name:ABLE IMAGING, INC
Other - Org Name:SPRINGDALE RADIOLOGY, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-424-2929
Mailing Address - Street 1:2051 SPRINGDALE RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1603
Mailing Address - Country:US
Mailing Address - Phone:856-424-2929
Mailing Address - Fax:856-424-6111
Practice Address - Street 1:455 MARLTON PIKE W
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-3524
Practice Address - Country:US
Practice Address - Phone:856-616-2999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology