# IRVINGTON MOBILE IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Irvington Mobile Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598490294
- **Authorized official:** RUDOLPH C WILLIS MD (PROPRIETOR)
- **Authorized official phone:** (190) 886-8120

## Contact information

- **Practice address:** 145 OLD STIRLING RD, WARREN, NJ 07059-5829
- **Practice address phone:** (197) 337-3300
- **Mailing address:** 145 OLD STIRLING RD, WARREN, NJ 07059-5829
- **Mailing address phone:** (201) 415-1978
- **Mailing address fax:** (201) 415-1978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2022
- **Last updated:** 07/18/2022