Healthcare Provider Details

I. General information

NPI: 1922188309
Provider Name (Legal Business Name): MARGATE DIAGNOSTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9710 VENTNOR AVE
MARGATE CITY NJ
08402-2223
US

IV. Provider business mailing address

9710 VENTNOR AVE
MARGATE CITY NJ
08402-2223
US

V. Phone/Fax

Practice location:
  • Phone: 609-822-4800
  • Fax: 609-822-2617
Mailing address:
  • Phone: 609-822-4800
  • Fax: 609-822-2617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANNA E CHRISTIAN
Title or Position: ASSISTANT MANAGER
Credential:
Phone: 609-822-4800