Organization
HOLY NAME IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PACHECO (CREDENTIALING SUPERVISOR)
(201) 833-3599
Entity
Organization
Contact information
Practice address
730 PALISADE AVE, TEANECK, NJ 07666-3144
(201) 692-1550
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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