CORAL DIAGNOSTICS LLC NPI 1457593196

NPI Information

NPI: 1457593196
Provider Name: CORAL DIAGNOSTICS, LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
684 MARKET ST
PATERSON, NJ
ZIP 07513
Phone: (917) 257-7227
Get Directions

CORAL DIAGNOSTICS, LLC is a radiology and mobile clinic center in Paterson, NJ. CORAL DIAGNOSTICS, LLC NPI is 1457593196. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

684 MARKET ST
PATERSON, NJ
ZIP 07513-231
Phone: (917) 257-7227
Fax: (973) 807-1613

The provider's authorized official is Manjushree Matadial .
The authorized official title is Md and has the following contact phone number (917) 257-7227.

The enumeration date for this NPI number is 3/26/2009 and was last updated on 5/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		25MB07597800	NEW JERSEY	No
2	207R00000X	Internal Medicine		25MB07597800	NEW JERSEY	No
3	261QR0208X	Clinic/Center	Radiology, Mobile	25MB07597800	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25MB07597800	OTHER	NEW JERSEY	STATE LICENSE
2	077191	MEDICARE PIN	NEW JERSEY
3	0044377	MEDICAID	NEW JERSEY
4	I02472	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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