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JEFFERSON OUTPATIENT IMAGING
NPI 1902114168
Radiology - Diagnostic Radiology in East Norriton, PA

Active since September 21, 2010CLIA 39D2035798 · Waiver
1 W GERMANTOWN PIKE, EAST NORRITON, PA 19401(615) 277-3202(610) 277-9640 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2021, Mar 16, 2021, Mar 28, 2017 (3 updates tracked since 2017).

About Jefferson Outpatient Imaging NPPES

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

JEFFERSON OUTPATIENT IMAGING (NPI 1902114168) is a healthcare organization registered as a diagnostic radiology in East Norriton, Pennsylvania and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Amy Stout, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1902114168
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameJEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC
Location Address1 W GERMANTOWN PIKEEast Norriton, PA 19401-1513
Mailing Address800 Crescent Centre Dr Ste 400Franklin, TN 37067-7270 · (615) 261-2306 · Fax (855) 588-3545
Phone(615) 277-3202
Fax(610) 277-9640
Organization SubpartYes
Authorized OfficialAmy StoutPresident/ceo · (615) 261-2306
Enumeration DateSeptember 21, 2010
Last NPPES UpdateOctober 21, 20243 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1902114168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPhysiological LaboratoryTaxonomy 293D00000X
1 W GERMANTOWN PIKE, East Norriton, PA 19401
Open in Google Maps ↗

Other Names 1

Doing Business AsJefferson Outpatient Imaging

Other Identifiers 2

Other205517PA · Medicare Idtf (mobile Pet/ct)
Other255184NJ · Medicare Idtf (mobile Pet/ct)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 39D2035798

Jefferson Outpatient Imaging · East Norriton, PA
Active · expires Jan 24, 2028
CLIA Number39D2035798
Laboratory TypeIndependent
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Adam C. Zoga MD
Laboratory Phone(610) 239-1500
Laboratory LocationJefferson Outpatient Imaging1 West Germantown Pike, East Norriton, PA 19401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552
Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.
76 services71 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
68 services64 patients

Other Providers at the Same Location NPPES

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

JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC
Clinic/Center (Radiology)
1 W GERMANTOWN PIKE
EAST NORRITON, PA 19401
Montgomery County (610) 277-3202

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 Jefferson University Radiology Associates, LLC's NPI number?

The NPI number for Jefferson University Radiology Associates, LLC is 1902114168. It was assigned to this organization in the NPPES registry on September 21, 2010. The provider is doing business as Jefferson Outpatient Imaging.

Where is Jefferson University Radiology Associates, LLC located?

Jefferson University Radiology Associates, LLC is located at 1 W Germantown Pike, East Norriton, PA 19401. The listed phone number is (615) 277-3202.

What is Jefferson University Radiology Associates, LLC's specialty?

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

Does Jefferson University Radiology Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2035798) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson University Radiology Associates, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jefferson University Radiology Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson University Radiology Associates, LLC was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.