| Organization Name: | FRANKLIN LAKES MEDICAL IMAGING, LLC |
| NPI Number: | 1154749455 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE BUONTEMPO (MANAGING MEMBER) |
| Mailing Address: | 784 Franklin Ave Franklin Lakes Medical Imaging Suite 120 Franklin Lakes |
| State: | NJ US |
| Postal Code: | 074171306 |
| Phone Number: | 2018913113 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2014 |
| NPI Last Update Date: | 04/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | 24825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |