EDGEWATER IMAGING LLC
NPI 1669837555
Clinic/Center - Radiology in Edgewater, NJ
Active since December 21, 2015
About Edgewater Imaging Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGEWATER IMAGING LLC (NPI 1669837555) is a healthcare organization registered as a radiology in Edgewater, New Jersey and active in the NPI registry since December 2015. The organization lists Preetham Pillarisetty, Ceo, as its authorized official.
NPPES Registry Identity
NPI1669837555
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameEDGEWATER IMAGING LLC
Location Address18 HILLIARD AVEEdgewater, NJ 07020-1257
Mailing Address23 Julia PlBudd Lake, NJ 07828-2461 · (803) 673-6355 · Fax (866) 201-1187
Phone(803) 673-6355
Fax(866) 201-1187
Organization SubpartNo
Authorized OfficialPreetham PillarisettyCeo · (803) 673-6355
Enumeration DateDecember 21, 2015
✔ NPI 1669837555 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedClinic/Center · Radiology, MobileTaxonomy 261QR0208X
18 HILLIARD AVE, Edgewater, NJ 07020
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669837555, enumerated as an "organization" on December 21, 2015.
The provider is located at 18 HILLIARD AVE EDGEWATER, NJ 07020 and the phone number is (803) 673-6355.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
