Healthcare Provider Details

I. General information

NPI: 1942344262
Provider Name (Legal Business Name): ON-SITE IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 08/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 US HWY 9 NORTH, SUITE 102 GROSSO OFFICE PARK
MORGANVILLE NJ
07751
US

IV. Provider business mailing address

50 HIGHWAY 9 SUITE 102 GROSSO OFFICE PARK
MORGANVILLE NJ
07751-3321
US

V. Phone/Fax

Practice location:
  • Phone: 732-718-3906
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: ANNA BAKSHIYEVA
Title or Position: OFFICE MANAGER
Credential:
Phone: 732-580-0660