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NPI Code Detail

MEDICARE: LMR IMAGING

MEDICARE: LMR IMAGING
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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1598758674
Entity Type Code : Organization
Provider Name (Legal Business Name) : LMR IMAGING
Provider Business Mailing Address
First Line : 1455 BROAD ST
Second Line : 4TH FLOOR
City : BLOOMFIELD
State : NJ
Zip : 07003-3003
Country : US
Telephone Number : 973-707-1100
Fax Number : 973-707-1127
Provider Business Practice Location Address
First Line : 636 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2668
Country : US
Telephone Number : 239-574-3339
Fax Number : 239-574-8879
Authorized Official
Title or Position : DIRECTOR OF MANAGED CARE
Name : CINDY MASTICE
Credential :
Telephone Number : 973-983-9950
Provider Enumeration Date : 08/24/2005
Last Update Date : 08/22/2020

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Directions to “LMR IMAGING ” Practice Location

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