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Contact Information

IMAGE DIAGNOSTIC SERVICES
2 KENNEDY BOULEVARD
EAST BRUNSWICK, NJ08816
 Phone: 732-777-2588
 Fax: 732-839-1071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for IMAGE DIAGNOSTIC SERVICES

NPI Number 1083974984
LBN Legal business name IMAGE DIAGNOSTIC SERVICES
Authorized official PETER GUDAITIS - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/24/2012
Last updated 05/24/2012 - About 14 years ago
Identifiers n/a
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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