Provider Demographics
NPI:1811125750
Name:HEALTHQUIST DIAGNOSTIC
Entity type:Organization
Organization Name:HEALTHQUIST DIAGNOSTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NIKHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-404-1555
Mailing Address - Street 1:200 MIDDLESEX ESSEX TPKE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2033
Mailing Address - Country:US
Mailing Address - Phone:732-404-1555
Mailing Address - Fax:732-404-1556
Practice Address - Street 1:200 MIDDLESEX ESSEX TPKE
Practice Address - Street 2:SUITE 206
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2033
Practice Address - Country:US
Practice Address - Phone:732-404-1555
Practice Address - Fax:732-404-1556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile