Provider Demographics
NPI:1437702131
Name:SOUTH PLAINFIELD RADIOLOGY CORP
Entity Type:Organization
Organization Name:SOUTH PLAINFIELD RADIOLOGY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DMITRIY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLYAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-333-3310
Mailing Address - Street 1:116 CORPORATE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-2437
Mailing Address - Country:US
Mailing Address - Phone:732-333-3310
Mailing Address - Fax:
Practice Address - Street 1:116 CORPORATE BLVD STE D
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-2437
Practice Address - Country:US
Practice Address - Phone:732-333-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)