Organization
TRISTATE IMAGING CONSULTANTS, LLC
Active
Other names
Manahawkin Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CARR (PRESIDENT)
(215) 663-5910
Entity
Organization
Contact information
Practice address
1322 ROUTE 72 W, MANAHAWKIN, NJ 08050-2489
(609) 978-7900
(609) 978-7544
Mailing address
PO BOX 827275, PHILADELPHIA, PA 19182-7275
(215) 663-5910
(215) 663-2451
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8488207
—
NJ
Enumeration date
06/23/2005
Last updated
02/10/2009
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