| NPI | 1134790629 |
|---|---|
| Former Legal Business Name | ATLANTIC DIAGNOSTIC SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | LANELLE ANNE PICINICH Paralegal 973-451-2627 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |