Myron Medical Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

25MA04036000 Issued in NJ

Legal business name

MYRON MEDICAL IMAGING, LLC

Practice address

218 N 10TH St
Kenilworth, NJ 07033-1152

Phone

(973) 207-1828

NPI assigned

Jan 15, 2010

Last updated

Jan 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George Buabeng

Title

Owner

Phone

(973) 207-1828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1912238874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N 10TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331152",
            "telephone_number": "973-207-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 10TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331152",
            "telephone_number": "973-207-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "BUABENG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-207-1828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": "25MA04036000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Mobile Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.