EASTERN DIAGNOSTIC SERVICES LLC


Address: 1121 Inwood Ter, Fort Lee, NJ 07024-1623
Phone: 7187101862

EASTERN DIAGNOSTIC SERVICES LLC (NPI# 1679831671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679831671
Entity Type Organization
Organization Name EASTERN DIAGNOSTIC SERVICES LLC
Practice Address 1121 Inwood Ter
Fort Lee
NJ 07024-1623
Practice Telephone 7187101862
Enumeration Date 2012-04-26
Last Update Date 2012-04-26
Authorized Official Name CHRISTOPHER SHEN (OWNER)
Authorized Official Telephone 7187101862
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 1121 INWOOD TER
City FORT LEE
State NJ
Zip Code 07024-1623

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City FORT LEE
Zip Code 07024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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