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General NPI Number Information
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NPI Number | 1861888117
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Entity Type | Organization
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Legal Business Name | ULTRA IMAGING
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 160 LANZA AVE STE 10
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City | GARFIELD
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State | NJ
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Zip | 07026-3551
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Country | US
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Telephone | 973-878-3282
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Fax | 973-878-1773
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Provider Business Mailing Address
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Address Line | 160 LANZA AVE STE 9
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City | GARFIELD
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State | NJ
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Zip | 07026-3551
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Country | US
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Telephone | 973-864-7845
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Fax | 973-878-1773
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Authorized Official
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Title or Position | OWNER
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Name | MR. BLEDAR BERBERI
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Credential |
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Telephone | 973-864-7845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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