MEDICARE: MARGATE DIAGNOSTIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory
2	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1922188309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGATE DIAGNOSTIC CENTER

Provider Business Mailing Address
First Line	:	9710 VENTNOR AVE
Second Line	:
City	:	MARGATE CITY
State	:	NJ
Zip	:	08402-2223
Country	:	US
Telephone Number	:	609-822-4800
Fax Number	:	609-822-2617

Provider Business Practice Location Address
First Line	:	9710 VENTNOR AVE
Second Line	:
City	:	MARGATE CITY
State	:	NJ
Zip	:	08402-2223
Country	:	US
Telephone Number	:	609-822-4800
Fax Number	:	609-822-2617

Authorized Official
Title or Position	:	ASSISTANT MANAGER
Name	:	MRS. ANNA E CHRISTIAN
Credential	:
Telephone Number	:	609-822-4800

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	09/11/2025

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Directions to “MARGATE DIAGNOSTIC CENTER ” Practice Location

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