Basic Information
| Provider Information | |||||||||
| NPI: | 1215225578 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MSA IMAGING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1719 STATE RT 10 | ||||||||
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| City: | PARSIPPANY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070544507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9086539399 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10561 JEFFREYS ST | ||||||||
| Address2: | SUITE 111 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890524266 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9086539399 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2011 | ||||||||
| LastUpdateDate: | 07/20/2011 | ||||||||
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| AuthorizedOfficialLastName: | FINDLAY | ||||||||
| AuthorizedOfficialFirstName: | ROGER | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 9086539399 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Magnetic Resonance Imaging (MRI) |
No ID Information.