Organization
ELECTRODIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHORTELL (ADMINISTRATOR)
(201) 610-9559
Entity
Organization
Contact information
Practice address
12 TAYLOR AVENUE, CARTERET, NJ 07008
(732) 541-2108
(908) 688-8180
Mailing address
12 TAYLOR AVENUE, CARTERET, NJ 07008
(732) 541-2108
(908) 688-8180
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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