Provider Demographics
NPI:1306267927
Name:CONTEMPORARY DIAGNOSTIC IMAGING, LLC
Entity type:Organization
Organization Name:CONTEMPORARY DIAGNOSTIC IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ALKIES
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-798-2828
Mailing Address - Street 1:75 PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1865
Mailing Address - Country:US
Mailing Address - Phone:973-798-2828
Mailing Address - Fax:973-556-1375
Practice Address - Street 1:75 PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1865
Practice Address - Country:US
Practice Address - Phone:973-798-2828
Practice Address - Fax:973-556-1375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-27
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08779900174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty