| Organization Name: | NOA DIAGNOSTICS OF PA LLC |
| NPI Number: | 1124421870 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVAN JASSER (PRESIDENT) |
| Mailing Address: | 100 Wood Ave S Suite 110 Iselin |
| State: | NJ US |
| Postal Code: | 088302727 |
| Phone Number: | 5169862700 |
| Fax Number: | 5169862710 |
| NPI Enumeration Date: | 10/08/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |