Provider Demographics
NPI:1942344262
Name:ON-SITE IMAGING
Entity Type:Organization
Organization Name:ON-SITE IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKSHIYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-580-0660
Mailing Address - Street 1:50 HIGHWAY 9 SUITE 102
Mailing Address - Street 2:GROSSO OFFICE PARK
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-3321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 US HWY 9 NORTH, SUITE 102
Practice Address - Street 2:GROSSO OFFICE PARK
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751
Practice Address - Country:US
Practice Address - Phone:732-718-3906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center