# PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC

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

## Provider details

- **NPI number:** 1053497081
- **Authorized official:** MR. WILLIAM FARRELL (MANAGING MEMBER)
- **Authorized official phone:** (201) 541-5401

## Contact information

- **Practice address:** 1255 BROAD AVE, SUITE 101, BLOOMFIELD, NJ 07003
- **Practice address phone:** (973) 771-1140
- **Practice address fax:** (973) 771-1150
- **Mailing address:** PO BOX 785966, PHILADELPHIA, PA 19178-0001
- **Mailing address phone:** (201) 541-5401
- **Mailing address fax:** (201) 541-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 23455 | NJ | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 07/10/2007