Provider Type Icon

PROFESSIONAL MOBILE DIAGNOSTIC IMAGING LLC NPI 1053685511


NPI Information

NPI: 1053685511
Provider Name: PROFESSIONAL MOBILE DIAGNOSTIC IMAGING LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
1810 KENNEDY BOULEVARD
JERSEY CITY, NJ
ZIP 07305
Phone: (732) 661-7512
Get Directions

PROFESSIONAL MOBILE DIAGNOSTIC IMAGING LLC is a radiology and mobile clinic center in Jersey City, NJ. PROFESSIONAL MOBILE DIAGNOSTIC IMAGING LLC NPI is 1053685511. The provider is registered as an organization entity type.

The provider's business location address is:

1810 KENNEDY BOULEVARD
JERSEY CITY, NJ
ZIP 07305
Phone: (732) 661-7512

The provider's authorized official is Rasha Gamal .
The authorized official title is Owner and has the following contact phone number (732) 661-7512.

The enumeration date for this NPI number is 3/1/2012 and was last updated on 3/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0208XClinic/CenterRadiology, MobileYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.