Provider Demographics
NPI:1528394921
Name:MRI ASSOCIATES OF HACKETTSTOWN LLC
Entity Type:Organization
Organization Name:MRI ASSOCIATES OF HACKETTSTOWN LLC
Other - Org Name:IMAGECARE AT HACKETTSTOWN 3T
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HINRICHS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-979-1621
Mailing Address - Street 1:657 WILLOW GROVE ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-1868
Mailing Address - Country:US
Mailing Address - Phone:908-979-1621
Mailing Address - Fax:908-441-2821
Practice Address - Street 1:657 WILLOW GROVE ST
Practice Address - Street 2:SUITE 205
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-1868
Practice Address - Country:US
Practice Address - Phone:908-979-1621
Practice Address - Fax:908-441-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology