Organization Name: | MOBILE DIAGNOSTIC IMAGING |
NPI Number: | 1174574925 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY ANZALONE (PHYSICIAN / MEMBER) |
Mailing Address: | 203 Dietz Street Cranford |
State: | NJ US |
Postal Code: | 070163223 |
Phone Number: | 9737787334 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 07/08/2007 |
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: |