Provider Demographics
NPI:1053830869
Name:BRADLEY AND ELLIOTT IMAGING, LLC
Entity Type:Organization
Organization Name:BRADLEY AND ELLIOTT IMAGING, LLC
Other - Org Name:BEI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF DIAGNOSTIC IMAGING
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOCELYN-LADINY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-335-8985
Mailing Address - Street 1:84 PARK AVE STE G210C
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1174
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:84 PARK AVE STE G210C
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1174
Practice Address - Country:US
Practice Address - Phone:908-335-8985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile