Protocol Imaging LLC

NPI #1568705101 in Bloomfield, New Jersey

Provider Information

NPI Number: 1568705101
Entity Type: Organization
Organization Name: Protocol Imaging LLC
Primary Specialty: Radiologic Technologist
Enumeration Date: Apr 2, 2013
Last Updated: Apr 2, 2013

Practice Location

Address: 26 BIRCH ST
City: Bloomfield
State: New Jersey
ZIP Code: 07003-4004
Phone: (973) 768-1304

Authorized Official

Name: MR. DOMINICK CARUSO
Title: VASCULAR TECHNOLOGIST
Phone: (973) 768-1304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Neuroimaging — Diagnostic Neuroimaging	2085D0003X
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X
Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound	2085U0001X
Radiologic Technologist	247100000X	Primary

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