Active NPIOrganization

Garden State MRI Corp

Radiology, Diagnostic Radiology in Vineland, New Jersey

NPI Number1497700702
Practice location
1470 S Main RD, Building 2, Vineland, NJ 08360-6588
Fax
856-205-9925
Last updated
March 11, 2008

Garden State MRI Corp is a healthcare organization based in Vineland, NJ. Garden State MRI Corp practices in Vineland, NJ. The NPI Number for Garden State MRI Corp is 1497700702 and holds a License No. 25MA05144800 (NJ). The current practice location address for Garden State MRI Corp is 1470 S Main RD, Building 2, Vineland, NJ 08360-6588 and can be reached out via phone at 856-690-0300 and via fax at 856-205-9925.

Provider Profile Details

NPI Number
1497700702
Provider Name
Garden State MRI Corp
Provider Entity Type
Organization
Address
1470 S Main RD, Building 2, Vineland, NJ 08360-6588
Phone Number
856-690-0300
Fax Number
856-205-9925
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Organization Subpart
No
Authorized Official
Dr. Ralph Dauito, MD · Ceo · 856-794-2337
Other Names
Eastlantic Diagnostic Institute (Doing Business As)
Provider Enumeration Date
May 24, 2006
Last Update Date
March 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1470 S Main RD
Building 2
Vineland, NJ 08360-6588
Zip
08360-6588
Phone Number
856-690-0300
Fax Number
856-205-9925
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
Po Box 1444
Vineland, NJ 08362-1444
City
Vineland
State
NJ
Zip
08362-1444
Phone Number
856-794-2337
Fax Number
856-205-9925

License Information

License Number
25MA05144800
License State
NJ
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Garden State MRI Corp?

The NPI number of Garden State MRI Corp is 1497700702. It was assigned on May 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Garden State MRI Corp?

Garden State MRI Corp is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25MA05144800.

Where does Garden State MRI Corp practice?

The practice location is 1470 S Main RD, Building 2, Vineland, NJ 08360-6588. The office can be reached at 856-690-0300 (phone) or 856-205-9925 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497700702 directly on the NPPES registry website.

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