Organization
DYNAMIC MEDICAL IMAGING-DMI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANGKUMAR MEHTA (CEO)
(908) 687-2552
Entity
Organization
Contact information
Practice address
950 W CHESTNUT ST, UNION, NJ 07083-6966
(908) 687-2552
Mailing address
950 W CHESTNUT ST, UNION, NJ 07083-6966
(908) 687-2552
(908) 687-6556
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23294
AMBULATORY CARE LICENSE
NJ
Enumeration date
04/10/2023
Last updated
04/26/2024
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