Provider Demographics
NPI:1013104041
Name:AMERICAN DIAGNOSTIC IMAGING OF NJ
Entity Type:Organization
Organization Name:AMERICAN DIAGNOSTIC IMAGING OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-242-5600
Mailing Address - Street 1:9 ALLING ST # 25
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-5376
Mailing Address - Country:US
Mailing Address - Phone:973-242-5600
Mailing Address - Fax:973-242-4277
Practice Address - Street 1:9 ALLING ST # 25
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-5376
Practice Address - Country:US
Practice Address - Phone:973-242-5600
Practice Address - Fax:973-242-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology