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UNIVERSITY RADIOLOGY AT COOPER, LLC
NPI 1669056248
Radiology - Diagnostic Radiology in Cherry Hill, NJ

Active since May 10, 2021CLIA 31D2245222 · Waiver
2339 ROUTE 70 W, CHERRY HILL, NJ 08002(856) 532-9644(856) 532-9643 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2021, May 10, 2021 (2 updates tracked since 2021).

About University Radiology At Cooper, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY RADIOLOGY AT COOPER, LLC (NPI 1669056248) is a healthcare organization registered as a diagnostic radiology in Cherry Hill, New Jersey and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists Mary Lou Devaney, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1669056248
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameUNIVERSITY RADIOLOGY AT COOPER, LLC
Location Address2339 ROUTE 70 WCherry Hill, NJ 08002-3315
Mailing Address579a Cranbury RdEast Brunswick, NJ 08816-5426 · (732) 390-0040 · Fax (732) 955-8874
Phone(856) 532-9644
Fax(856) 532-9643
Organization SubpartNo
Authorized OfficialMary Lou DevaneyCredentialing Manager · (732) 390-0040
Enumeration DateMay 10, 2021
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1669056248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2339 ROUTE 70 W, Cherry Hill, NJ 08002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2245222

University Radiology At Cooper, LLC · Cherry Hill, NJ
Active · expires Dec 8, 2027
CLIA Number31D2245222
Laboratory TypeOutpatient Radiology
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorEric B. Lazar
Laboratory Phone(856) 532-9644
Laboratory LocationUniversity Radiology At Cooper, LLC2339 Route 70 West, Cherry Hill, NJ 08002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA MAGANA OT
Occupational Therapist
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 406-4080
MELANIE NICOLE KELLY OTR/L
Occupational Therapist
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 414-6114
JINHEE JANG BRATU CRNP
Nurse Practitioner
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 546-8525
MAY T TRAN MS, RDN, LDN
Dietitian, Registered
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 382-6500
DR. PHILIP EDWARD DORMISH MD
Internal Medicine (Pulmonary Disease)
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 536-1500
SHARON LEWIS MD
Psychiatry & Neurology (Neurology)
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 546-8525
BRANDI ALDRIDGE PA-C
Physician Assistant
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 532-9519
MORGAN GRISOFF LCSW
Social Worker (Clinical)
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 546-8525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Radiology At Cooper, LLC's NPI number?

The NPI number for University Radiology At Cooper, LLC is 1669056248. It was assigned to this organization in the NPPES registry on May 10, 2021.

Where is University Radiology At Cooper, LLC located?

University Radiology At Cooper, LLC is located at 2339 Route 70 W, Cherry Hill, NJ 08002. The listed phone number is (856) 532-9644.

What is University Radiology At Cooper, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does University Radiology At Cooper, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2245222) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Radiology At Cooper, LLC was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.