Provider Demographics
NPI:1780940551
Name:RAPID ACCESS MEDICAL DIAGNOSTICS NJ LLC
Entity type:Organization
Organization Name:RAPID ACCESS MEDICAL DIAGNOSTICS NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ORESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:551-221-8401
Mailing Address - Street 1:111 CANFIELD AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1127
Mailing Address - Country:US
Mailing Address - Phone:551-221-8401
Mailing Address - Fax:551-221-8408
Practice Address - Street 1:111 CANFIELD AVE
Practice Address - Street 2:SUITE C
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1127
Practice Address - Country:US
Practice Address - Phone:551-221-8401
Practice Address - Fax:551-221-8408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty