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Organization
JERSEY CITY IMAGING CENTER LLC
Active
Organization
JERSEY CITY IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVIKA VEDAWALA (OWNER)
(908) 257-0444
Entity
Organization
Contact information
Practice address
2300 JFK BLVD, JERSEY CITY, NJ 07304-1510
(732) 376-6616
Mailing address
2300 JFK BLVD, JERSEY CITY, NJ 07304-1510
(551) 353-9911
(551) 256-9986
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
07/03/2024
Last updated
01/12/2026
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