# STAT PORTABLE X-RAY OF NEW JERSEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013637602
- **Authorized official:** MENACHEM LEDER (OPERATIONS MANAGER)
- **Authorized official phone:** (718) 217-8000

## Contact information

- **Practice address:** 160 DURHAM AVE STE 1010, METUCHEN, NJ 08840-1261
- **Practice address phone:** (201) 440-1757
- **Mailing address:** 21118 UNION TPKE, OAKLAND GARDENS, NY 11364-3241
- **Mailing address phone:** (718) 217-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 09/01/2022