MEDICARE: UNIQUE MOBILE DIAGNOSTIC SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1215244215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE MOBILE DIAGNOSTIC SERVICES INC

Provider Business Mailing Address
First Line	:	354 CROWN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3006
Country	:	US
Telephone Number	:	718-809-6497
Fax Number	:

Provider Business Practice Location Address
First Line	:	281 BROOKLYN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213
Country	:	US
Telephone Number	:	718-467-1676
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AARON JUNIK
Credential	:
Telephone Number	:	718-809-6497

Provider Enumeration Date	:	09/12/2010
Last Update Date	:	06/28/2012

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