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NPI Code Detail

MEDICARE: STAT MRI, LLC

MEDICARE: STAT MRI, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center22991NJ

General Provider Information

NPI Number : 1558546085
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAT MRI, LLC
Provider Business Mailing Address
First Line : 1801 NEW RD
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1036
Country : US
Telephone Number : 609-653-3055
Fax Number : 609-653-8469
Provider Business Practice Location Address
First Line : 1801 NEW RD
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1036
Country : US
Telephone Number : 609-653-3055
Fax Number : 609-653-8469
Authorized Official
Title or Position : CEO
Name : MRS. SADHNA SINGH
Credential :
Telephone Number : 609-653-3055
Provider Enumeration Date : 01/03/2008
Last Update Date : 01/03/2008

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