PROFESSIONAL MOBILE DIAGNOSTIC IMAGING LLC
NPI 1053685511
Clinic/Center - Radiology, Mobile in Jersey City, NJ
Active since March 01, 2012
About Professional Mobile Diagnostic Imaging Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL MOBILE DIAGNOSTIC IMAGING LLC (NPI 1053685511) is a healthcare organization registered as a radiology, mobile in Jersey City, New Jersey and active in the NPI registry since March 2012. The organization lists Rasha Gamal, Owner, as its authorized official.
NPPES Registry Identity
NPI1053685511
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NamePROFESSIONAL MOBILE DIAGNOSTIC IMAGING LLC
Location Address1810 KENNEDY BOULEVARDJersey City, NJ 07305
Mailing Address3709 Wells DrParlin, NJ 08859-1321 · (732) 661-7512
Phone(732) 661-7512
Organization SubpartNo
Authorized OfficialRasha GamalOwner · (732) 661-7512
Enumeration DateMarch 1, 2012
✔ NPI 1053685511 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
1810 KENNEDY BOULEVARD, Jersey City, NJ 07305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053685511, enumerated as an "organization" on March 01, 2012.
The provider is located at 1810 KENNEDY BOULEVARD JERSEY CITY, NJ 07305 and the phone number is (732) 661-7512.
Clinic/Center with taxonomy code 261QR0208X and a focus in Radiology, Mobile.