Organization
ADVANCED MAGNETIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIFULLA K CHAUDHARY (CEO)
(973) 262-2909
Entity
Organization
Contact information
Practice address
6416 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1621
(201) 295-1099
(201) 295-1035
Mailing address
6414 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1621
(201) 295-1099
(201) 295-1035
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22788
AMBULATORY CARE FACILITY
NJ
Enumeration date
04/17/2020
Last updated
12/23/2020
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