Odi Diagnostic Imaging of Newark LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

23151 Issued in NJ

Legal business name

ODI DIAGNOSTIC IMAGING OF NEWARK LLC

Doing business as

Optimum Diagnostic Imaging

Practice address

243 Chestnut St
1St Floor
Newark, NJ 07105-6501

Phone

(973) 521-5685

Fax

(862) 237-7629

NPI assigned

Mar 28, 2014

Last updated

Apr 25, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

DIC DIAGNOSTIC IMAGING CENTER LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Solomon Roth

Title

Owner

Phone

(973) 521-5685

Specialties & licenses 1

Addresses

Other names 1

• OPTIMUM DIAGNOSTIC IMAGING Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1437577368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHESTNUT ST",
            "address_2": "1ST FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056501",
            "telephone_number": "973-521-5685",
            "fax_number": "862-237-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHESTNUT ST",
            "address_2": "1ST FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056501",
            "telephone_number": "973-521-5685",
            "fax_number": "862-237-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODI DIAGNOSTIC IMAGING OF NEWARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIC DIAGNOSTIC IMAGING CENTER LLC",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-521-5685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "23151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIMUM DIAGNOSTIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Janina Ocker, CRNA, MSN
• Gifty Odei Apau
• Emmanuel Odekunle
• Chetachi E Odelugo, DO
• Adebimpe Oderinu
• Akpesiri David Odiyoma
• Henry A Odujebe, MD
• Oyinkan Christie Odumosu, PHARMD
• Tolulope Oduntan
• Lateefat Tinuola Odunuga

• Magnetic Resonance Imaging (MRI) Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.