Provider Demographics
NPI:1043390685
Name:BIOSCAN DIAGNOSTIC IMAGING, PC
Entity Type:Organization
Organization Name:BIOSCAN DIAGNOSTIC IMAGING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SABIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-453-2025
Mailing Address - Street 1:PO BOX 551
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-0551
Mailing Address - Country:US
Mailing Address - Phone:201-453-2025
Mailing Address - Fax:201-453-2029
Practice Address - Street 1:88 MARKET ST
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-4830
Practice Address - Country:US
Practice Address - Phone:201-453-2025
Practice Address - Fax:201-453-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)