Provider Demographics
NPI:1174924609
Name:JHL IMAGING SERVICES OF NEW JERSEY LLC
Entity type:Organization
Organization Name:JHL IMAGING SERVICES OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:
Authorized Official - Last Name:STERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-687-1743
Mailing Address - Street 1:32 CHARLOTTE LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-6520
Mailing Address - Country:US
Mailing Address - Phone:908-687-1743
Mailing Address - Fax:
Practice Address - Street 1:2414 MORRIS AVE
Practice Address - Street 2:STE 352
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5732
Practice Address - Country:US
Practice Address - Phone:908-687-1743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty