Healthcare Provider Details

I. General information

NPI: 1497966352
Provider Name (Legal Business Name): NORTH AMERICAN DIAGNOSTIC IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SEARS DR 2ND FLOOR
PARAMUS NJ
07652-3539
US

IV. Provider business mailing address

2 SEARS DR 2ND FLOOR
PARAMUS NJ
07652-3539
US

V. Phone/Fax

Practice location:
  • Phone: 800-865-0500
  • Fax: 201-646-9204
Mailing address:
  • Phone: 800-865-0500
  • Fax: 201-646-9204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. LYNNE KOHLMANN
Title or Position: PRACTICE ADMINISTRATOR
Credential: RN,AMT
Phone: 201-646-0520