Dedham Mri Inc is a Radiology in Bloomfield, New Jersey. Dedham Mri Inc practices all healthcare services and medical treatments related to Radiology. The NPI Number for Dedham Mri Inc is 1760400204. The last update date is 2009-02-05.
Dedham Mri Inc's current location address is 1455 Broad St, Bloomfield, New Jersey. You can contact this provider via phone number 9738739889 and fax number 9737071127. The mailing address for Dedham Mri Inc is 1455 Broad St, Bloomfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dedham Mri Inc |
|---|---|
| Address | 1455 Broad St, Bloomfield, New Jersey |
| Phone Number | 9738739889 |
| Fax Number | 9737071127 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Valla John |
| Telephone Number | 9738739850 |
NPI Number Detail
| NPI Number | 1760400204 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2009-02-05 |
Provider Mailing Address Detail
| Address | 1455 Broad St |
|---|---|
| City | Bloomfield |
| State | New Jersey (NJ) |
| Post Code | 7003 |
| Phone Number | 9738739889 |
| Fax Number | 9737071127 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 261Qr0200X |
|
Definition: Takes images of the body using radiologic techniques to diagnose disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1528980 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dedham Mri Inc by the Centers for Medicare & Medicaid Services?
The Dedham Mri Inc has been issued the NPI (National Provider Identifier) 1760400204, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dedham Mri Inc is geographically located?
The Dedham Mri Inc is physically situated at the following location: 1455 Broad St, Bloomfield, NJ, 7003.
What is Dedham Mri Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dedham Mri Inc's area of specialization is Radiology, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0200X.
When was the Dedham Mri Inc's 1760400204 issued?
The Dedham Mri Inc's 1760400204 was issued on 2006-07-17.
As of what date were the details related to Dedham Mri Inc most recently updated or revised?
The information pertaining to Dedham Mri Inc, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-05.