Provider Demographics
NPI:1043737802
Name:AQ IMAGING LLC
Entity type:Organization
Organization Name:AQ IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPAK
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-662-1831
Mailing Address - Street 1:1921 OAK TREE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2073
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1921 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2073
Practice Address - Country:US
Practice Address - Phone:732-662-1831
Practice Address - Fax:732-662-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2022-03-17
Deactivation Date:2018-12-19
Deactivation Code:
Reactivation Date:2019-02-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Single Specialty