PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC; NPI #1053497081

Contact Information

PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC

1255 BROAD AVE
SUITE 101
BLOOMFIELD, NJ 07003

Phone: 973-771-1140
Fax: 973-771-1150
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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

NPI # 1053497081

LBN Legal business name PROGRESSIVE MEDICAL IMAGING OF BLOOMFIELD, LLC

Authorized official WILLIAM FARRELL - (MANAGING MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/31/2006

Last updated 07/10/2007 - About 19 years ago

Identifiers

License #

23455

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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