Electrodiagnostic Imaging LLC
NPI #1972696607 in Carteret, New Jersey
Provider Information
- NPI Number
- 1972696607
- Entity Type
- Organization
- Organization Name
- Electrodiagnostic Imaging LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12 TAYLOR AVENUE
- City
- Carteret
- State
- New Jersey
- ZIP Code
- 07008
- Phone
- (732) 541-2108
Authorized Official
- Name
- MR. MICHAEL SHORTELL
- Title
- ADMINISTRATOR
- Phone
- (201) 610-9559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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