National Provider Identifier Database

PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD LLC
Radiology


Contact Information

PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC
1255 BROAD AVE
SUITE 101
BLOOMFIELD, NJ07003
Phone: 973-771-1140
Fax: 973-771-1150
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC

NPI Number 1053497081
Legal business name
LBN
PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC
Authorized official WILLIAM FARRELL - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 10/31/2006
Last updated 07/10/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 23455

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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