Sr Medical Radiology Pc

LBN: Sr Medical Radiology Pc
Sr Medical Radiology Pc is an health care organization with primary practice located at 2529 87Th St , East Elmhurst NY 11369-1020. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Sr Medical Radiology Pc can be contacted via phone (718) 848-7142, or through Lodespoto, Mark via phone (718) 848-7142.

Contact Information

Primary practice address
2529 87Th St East Elmhurst NY 11369-1020
Fax: (718) 848-7153
Website:
Authorized official contact:
Name: Lodespoto, Mark

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 171063 New York
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 171063 New York

Profile Details

NPI number 1780942011
LBN Legal business name Sr Medical Radiology Pc
DBA Doing business as
Authorized official Lodespoto, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2012
Last updated Apr 24th, 2012 - about 12 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 1780942011 NPPES
New York MEDICAID 01418331

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