LACEY DIAGNOSTIC IMAGING, LLC.
NPI 1245235407
Radiology - Diagnostic Radiology in Forked River, NJ

Active since June 15, 2005
833 LACEY ROAD, FORKED RIVER, NJ 08731(609) 242-2334(609) 242-2402 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Radiology
  • Diagnostic Radiology

About LACEY DIAGNOSTIC IMAGING, LLC.

This page provides the complete NPI Profile along with additional information for Lacey Diagnostic Imaging, Llc., a provider established in Forked River, New Jersey operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1245235407 assigned on June 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 25MA05392200 (NJ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is John Harrigan M.d. (Director/owner/active, Attending)

NPI
1245235407 Verify this NPI
Provider Name
LACEY DIAGNOSTIC IMAGING, LLC.
Entity Type
Organization
Location Address
833 LACEY ROAD FORKED RIVER, NJ 08731
Location Phone
(609) 242-2334
Location Fax
(609) 242-2402
Mailing Address
833 LACEY RD FORKED RIVER, NJ 08731
Mailing Phone
(609) 242-2334
Mailing Fax
(609) 242-2402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2005
Last Update Date
03-16-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
25MA05392200
License State
NJ
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN HARRIGAN M.D.

Authorized Official Title
DIRECTOR/OWNER/ACTIVE, ATTENDING
Authorized Official Phone
(609) 242-2334

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
085215MEDICARE ID-TYPE UNSPECIFIED (04)NJGROUP NJ MEDICARE NUMBER

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245235407, enumerated as an "organization" on June 15, 2005.

The provider is located at 833 LACEY ROAD FORKED RIVER, NJ 08731 and the phone number is (609) 242-2334.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.