PRIME DIAGNOSTIC IMAGING CORP. NPI 1669684734

NPI Information

NPI: 1669684734
Provider Name: PRIME DIAGNOSTIC IMAGING CORP.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3075 VETERANS MEMORIAL HWY
SUITE 160
RONKONKOMA, NY
ZIP 11779
Phone: (631) 648-8860
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PRIME DIAGNOSTIC IMAGING CORP. is a radiology clinic center in Ronkonkoma, NY. PRIME DIAGNOSTIC IMAGING CORP. NPI is 1669684734. The provider is registered as an organization entity type.

The provider's business location address is:

3075 VETERANS MEMORIAL HWY
SUITE 160
RONKONKOMA, NY
ZIP 11779-667
Phone: (631) 648-8860
Fax: (631) 648-8859

The provider's authorized official is Stephanie Marie Moss .
The authorized official title is President and has the following contact phone number (631) 648-8860.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 12/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	171063	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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