Organization
AMERICAN IMAGING CENTER OF WEST ORANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M TESTARI (CHIEF OPERATIONS OFFICER)
(973) 669-1989
Entity
Organization
Contact information
Practice address
61 MAIN ST, WEST ORANGE, NJ 07052-5311
(973) 669-1989
(973) 669-0081
Mailing address
61 MAIN ST, WEST ORANGE, NJ 07052-5311
(973) 669-1989
(973) 669-0081
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22601
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0882003
—
NJ
01
—
22099
BCBS
NJ
Enumeration date
09/20/2006
Last updated
04/20/2008
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