Healthcare Provider Details
I. General information
NPI: 1225268600
Provider Name (Legal Business Name): CARDIOVASCULAR ONSITE IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2009
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 HANCOCK CT
PLAINSBORO NJ
08536
US
IV. Provider business mailing address
2 HANCOCK CT
PLAINSBORO NJ
08536
US
V. Phone/Fax
- Phone: 732-213-3601
- Fax: 732-289-6178
- Phone: 732-213-3601
- Fax: 732-289-6178
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335V00000X |
| Taxonomy | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ASHITA
PATEL
Title or Position: OWNER
Credential:
Phone: 732-213-3601