Organization
OPEN MRI AT WALL LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DIPAOLO MD (MEDICAL DIRECTOR)
(732) 974-8060
Entity
Organization
Contact information
Practice address
1975 HIGHWAY 34 SOUTH, WALL, NJ 07719
(732) 974-8060
(732) 974-0001
Mailing address
1975 HIGHWAY 34 SOUTH, WALL, NJ 07719
(732) 974-8060
(732) 974-0001
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
31D2043848
NJ
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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