Healthcare Provider Details

I. General information

NPI: 1457420788
Provider Name (Legal Business Name): ABLE IMAGING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 MARLTON PIKE W
CHERRY HILL NJ
08002-3524
US

IV. Provider business mailing address

2051 SPRINGDALE RD
CHERRY HILL NJ
08003-1603
US

V. Phone/Fax

Practice location:
  • Phone: 856-616-2999
  • Fax:
Mailing address:
  • Phone: 856-424-2929
  • Fax: 856-424-6111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE SIMS
Title or Position: COO
Credential:
Phone: 856-424-2929