Organization Name: | IMAGING SPECIALISTS, LLC |
NPI Number: | 1346520715 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KETANG MODI (MANAGING MEMBER) |
Mailing Address: | 88 Market St 1st Floor Saddle Brook |
State: | NJ US |
Postal Code: | 076634830 |
Phone Number: | 2018806600 |
Fax Number: | 2018806595 |
NPI Enumeration Date: | 08/17/2011 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |