Organization
JERSEY DIAGNOSTIC IMAGING, LLC
Active
Other names
Jersey Diagnostic Imaging, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANUTA WASILCZUK (OWNER)
(908) 241-5222
Entity
Organization
Contact information
Practice address
929 N WOOD AVE, LINDEN, NJ 07036-4039
(908) 241-5222
(908) 241-0332
Mailing address
929 N WOOD AVE, LINDEN, NJ 07036-4039
(908) 241-5222
(908) 241-0332
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
1325977
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212121
—
NJ
Enumeration date
08/26/2009
Last updated
03/17/2010
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