Organization
TLC IMAGING GROUP , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA DELAFUENTECHAVEZ (COO)
(908) 425-8919
Entity
Organization
Contact information
Practice address
950 W CHESTNUT ST, UNION, NJ 07083-6966
(908) 425-8919
(908) 505-9664
Mailing address
950 W CHESTNUT ST, UNION, NJ 07083-6966
(908) 425-8919
(908) 505-9664
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/26/2023
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