# EAST BRUNSWICK IMAGING CENTER LLC

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

## Provider details

- **NPI number:** 1124568910
- **Authorized official:** MR. ROMAN SHAPOSHNIKOV (ADMINISTRATOR)
- **Authorized official phone:** (732) 513-6300

## Contact information

- **Practice address:** 647 ROUTE 18, SUITE W, EAST BRUNSWICK, NJ 08816-3747
- **Practice address phone:** (732) 613-6300
- **Practice address fax:** (732) 613-6318
- **Mailing address:** 647 ROUTE 18, SUITE W, EAST BRUNSWICK, NJ 08816-3747
- **Mailing address phone:** (732) 613-6300
- **Mailing address fax:** (732) 613-6318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 24450 | NJ | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 02/28/2017