Provider Demographics
NPI:1114061793
Name:A.P.DIAGNOSTIC IMAGING INC.
Entity Type:Organization
Organization Name:A.P.DIAGNOSTIC IMAGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-635-9729
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08818-0373
Mailing Address - Country:US
Mailing Address - Phone:732-635-9729
Mailing Address - Fax:732-635-9855
Practice Address - Street 1:1692 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2853
Practice Address - Country:US
Practice Address - Phone:732-635-9729
Practice Address - Fax:732-635-9855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22911261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8691401Medicaid
NJ8691401Medicaid