Organization
PROGRESSIVE MEDICAL IMAGING OF UNION CITY, LLC
Active
Other names
Progressive Medical Imagin At the Kennedy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FARRELL (MANAGING MEMBER)
(201) 541-5401
Entity
Organization
Contact information
Practice address
3196 KENNEDY BLVD, UNION CITY, NJ 07087
(201) 865-6100
(201) 865-6102
Mailing address
PO BOX 785956, PHILADELPHIA, PA 19178-0001
(201) 541-5401
(201) 541-5400
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22927
NJ
Other
Enumeration date
10/31/2006
Last updated
07/10/2007
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