Organization
ENGELWOOD DIAGNOSTIC & IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA LASMIN (DIRECTOR)
(201) 874-9084
Entity
Organization
Contact information
Practice address
177 N DEAN ST, SUITE 202, ENGLEWOOD, NJ 07631-2533
(201) 731-3507
(800) 394-6163
Mailing address
177 N DEAN ST, SUITE 202, ENGLEWOOD, NJ 07631-2533
(201) 731-3507
(201) 731-3056
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
24402
NJ
261QR0200X
Radiology Clinic/Center
Primary
24402
NJ
Other
Enumeration date
01/03/2017
Last updated
08/10/2021
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