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Organization
JERSEY DIAGNOSTIC IMAGING, LLC
Active
Organization
JERSEY DIAGNOSTIC IMAGING, LLC
Active
Other names
Jersey Diagnostic Imaging, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANUTA WASILCZUK (OWNER)
(908) 241-5222
Entity
Organization
Contact information
Practice address
929 N WOOD AVE, LINDEN, NJ 07036-4039
(908) 241-5222
(908) 241-0332
Mailing address
929 N WOOD AVE, LINDEN, NJ 07036-4039
(908) 241-5222
(908) 241-0332
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
1325977
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212121
—
NJ
Enumeration date
08/26/2009
Last updated
03/17/2010
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