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MOBILE DIAGNOSTIC TST SERV INC NPI 1720113087


NPI Information

NPI: 1720113087
Provider Name: MOBILE DIAGNOSTIC TST SERV INC

Doing Business As: HEALTHTRAC

Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
3050 WHITESTONE EXPY
SUITE 205
FLUSHING, NY
ZIP 11354
Phone: (800) 626-1616
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MOBILE DIAGNOSTIC TST SERV INC is a portable x ray and or other portable diagnostic imaging supplier in Flushing, NY. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. MOBILE DIAGNOSTIC TST SERV INC NPI is 1720113087. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthtrac.

The provider's business location address is:

3050 WHITESTONE EXPY
SUITE 205
FLUSHING, NY
ZIP 11354-995
Phone: (800) 626-1616
Fax: (718) 358-1082

The provider's authorized official is Alan Robinson .
The authorized official title is President and has the following contact phone number (716) 614-3285.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 1/26/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10073926OTHERNEW YORKGOV'T HEALTH
216-01951OTHERNEW YORKEVERCARE
301867472MEDICAIDNEW YORK
4A431846OTHERNEW YORKOXFORD

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: 11/14/2023

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