Organization
IRVINGTON MOBILE IMAGING
Active
Other names
Irvington Mobile Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH C WILLIS MD (PROPRIETOR)
(190) 886-8120
Entity
Organization
Contact information
Practice address
145 OLD STIRLING RD, WARREN, NJ 07059-5829
(197) 337-3300
Mailing address
145 OLD STIRLING RD, WARREN, NJ 07059-5829
(201) 415-1978
(201) 415-1978
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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