Health Tech Diagnostic,Llc

LBN: Health Tech Diagnostic,Llc
Health Tech Diagnostic,Llc is an health care organization with primary practice located at 12 Krotik Pl , Irvington NJ 07111-1708. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Health Tech Diagnostic,Llc can be contacted via phone (908) 469-4771, or through Rudolph, Willis via phone (908) 469-4771.

Contact Information

Primary practice address
12 Krotik Pl Irvington NJ 07111-1708
Phone: (908) 469-4771
Fax: (908) 327-9634
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, Willis Doctor of Medicine (MD)
Phone: (908) 469-4771

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA04275000 New Jersey

Profile Details

NPI number 1326463449
LBN Legal business name Health Tech Diagnostic,Llc
DBA Doing business as
Authorized official Rudolph, Willis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2014
Last updated Feb 26th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326463449 NPPES
New Jersey MEDICAID 0887307
New Jersey Other 526391

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