# GARDEN STATE OPEN MRI DIAGNOSTIC CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558429019
- **Authorized official:** MR. ABDUR RAHMAN (OWNER)
- **Authorized official phone:** (973) 614-9400

## Contact information

- **Practice address:** 831 MAIN AVE, PASSAIC, NJ 07055-8400
- **Practice address phone:** (973) 614-9400
- **Practice address fax:** (973) 614-9441
- **Mailing address:** 831 MAIN AVE, PASSAIC, NJ 07055-8400
- **Mailing address phone:** (973) 614-9400
- **Mailing address fax:** (973) 614-9441

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 05/08/2017