Organization
AMERICAN IMAGING OF BLOOMFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH TESTARI (CHIEF OPERATING OFFICER)
(973) 669-1989
Entity
Organization
Contact information
Practice address
350 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-4897
(973) 743-6611
Mailing address
350 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-4897
(973) 743-6611
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
82455
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108961
—
NJ
01
—
AETNA
3687113
NJ
01
—
MERCY
60016050
NJ
01
—
OXFORD
A3409221
NJ
01
—
TAX ID
0108961
NJ
01
—
UNITE HEALTH CARE
41247001
NJ
Enumeration date
09/20/2006
Last updated
04/20/2008
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