Provider Demographics
NPI:1225114317
Name:TOMS RIVER IMAGING ASSOCIATES LP
Entity Type:Organization
Organization Name:TOMS RIVER IMAGING ASSOCIATES LP
Other - Org Name:OCEAN MEDICAL IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP & CHIEF ACCOUNTING OFFICR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:DRAZBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-282-6000
Mailing Address - Street 1:26250 ENTERPRISE CT
Mailing Address - Street 2:STE 100
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-8406
Mailing Address - Country:US
Mailing Address - Phone:949-282-6000
Mailing Address - Fax:949-462-3703
Practice Address - Street 1:21 STOCKTON DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6433
Practice Address - Country:US
Practice Address - Phone:732-286-6333
Practice Address - Fax:732-505-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory