# INNOVATIVE MEDICAL DIAGNOSTIC CARE PC

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

## Provider details

- **NPI number:** 1841598430
- **Authorized official:** DR. SATISH CHANDRA MD (PRESIDENT)
- **Authorized official phone:** (732) 321-1100

## Contact information

- **Practice address:** 1825 MADISON AVE, NEW YORK, NY 10035-3829
- **Practice address phone:** (212) 860-3500
- **Mailing address:** 22 MERIDIAN RD, STE 2, EDISON, NJ 08820-2860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2011
- **Last updated:** 03/04/2011