Healthcare Provider Details

I. General information

NPI: 1215225578
Provider Name (Legal Business Name): MSA IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10561 JEFFREYS ST SUITE 111
HENDERSON NV
89052-4266
US

IV. Provider business mailing address

1719 STATE RT 10
PARSIPPANY NJ
07054-4507
US

V. Phone/Fax

Practice location:
  • Phone: 908-653-9399
  • Fax:
Mailing address:
  • Phone: 908-653-9399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROGER FINDLAY
Title or Position: MANAGING PARTNER
Credential:
Phone: 908-653-9399