# CLIFTON MRI LLC

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

## Provider details

- **NPI number:** 1093222424
- **Authorized official:** MR. OLEKSANDR WASHINGTON (MANAGER)
- **Authorized official phone:** (973) 852-3690

## Contact information

- **Practice address:** 750 CLIFTON AVE, CLIFTON, NJ 07013
- **Practice address phone:** (973) 852-3690
- **Practice address fax:** (973) 852-3696
- **Mailing address:** 750 CLIFTON AVE, CLIFTON, NJ 07013-1837
- **Mailing address phone:** (973) 852-3690
- **Mailing address fax:** (973) 852-3696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/08/2018
- **Last updated:** 04/10/2024