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EXECUTIVE DIAGNOSIS SERVICE NPI 1841501244


NPI Information

NPI: 1841501244
Provider Name: EXECUTIVE DIAGNOSIS SERVICE
Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
39 AYCRIGG AVENUE
PASSAIC, NJ
ZIP 07055
Phone: (551) 587-1150
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EXECUTIVE DIAGNOSIS SERVICE is a radiologic technologist in Passaic, NJ. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. EXECUTIVE DIAGNOSIS SERVICE NPI is 1841501244. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

39 AYCRIGG AVENUE
PASSAIC, NJ
ZIP 07055
Phone: (551) 587-1150
Fax: (973) 777-1636

The provider's authorized official is Ana Virginia Delacruz .
The authorized official title is Owner and has the following contact phone number (551) 587-1150.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 6/30/2010.


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
1247100000XRadiologic TechnologistYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.