MAS IMAGING PORTABLE X-RAY INC NPI 1821411489

NPI Information

  • NPI: 1821411489
  • Provider Name: MAS IMAGING PORTABLE X-RAY INC
  • Classification: Clinic/Center - 261QR0208X
  • Specialization: Radiology, Mobile
  • Entity Type: Organization
  • Address: 90 ARRIVAL AVE STE 105
    RONKONKOMA, NY
    ZIP 11779
  • Phone: (631) 912-7476

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NPI Details

MAS IMAGING PORTABLE X-RAY INC is a radiology and mobile clinic center in Ronkonkoma, NY. MAS IMAGING PORTABLE X-RAY INC NPI is 1821411489. The provider is registered as an organization entity type.

The provider's business location address is:

90 ARRIVAL AVE STE 105
RONKONKOMA, NY
ZIP 11779-361
Phone: (631) 912-7476

The provider's authorized official is Marlo Suazo .
The authorized official title is Owner and has the following contact phone number (631) 912-7476.

The enumeration date for this NPI number is 1/31/2014 and was last updated on 2/25/2021.

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
1261QR0208XClinic/CenterRadiology, MobileYes

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: 11/21/2025

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