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PROGRESSIVE MEDICAL IMAGING OF UNION CITY LLC NPI 1972689909


NPI Information

NPI: 1972689909
Provider Name: PROGRESSIVE MEDICAL IMAGING OF UNION CITY, LLC

Doing Business As: PROGRESSIVE MEDICAL IMAGIN AT THE KENNEDY CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3196 KENNEDY BLVD
UNION CITY, NJ
ZIP 07087
Phone: (201) 865-6100
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PROGRESSIVE MEDICAL IMAGING OF UNION CITY, LLC is a radiology clinic center in Union City, NJ. PROGRESSIVE MEDICAL IMAGING OF UNION CITY, LLC NPI is 1972689909. The provider is registered as an organization entity type.
The provider Is Doing Business As Progressive Medical Imagin At The Kennedy Center.

The provider's business location address is:

3196 KENNEDY BLVD
UNION CITY, NJ
ZIP 07087
Phone: (201) 865-6100
Fax: (201) 865-6102

The provider's authorized official is William Farrell .
The authorized official title is Managing Member and has the following contact phone number (201) 541-5401.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/10/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiology22927NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1055020MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

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: 5/5/2024

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