MEDICARE: NUCLEAR DIAGNOSTICS 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	2471N0900X	Nuclear Medicine Technology Radiologic Technologist

General Provider Information

NPI Number	:	1841393063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUCLEAR DIAGNOSTICS INC.

Provider Business Mailing Address
First Line	:	3 ACORN CIR
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-4846
Country	:	US
Telephone Number	:	716-597-6117
Fax Number	:	716-662-4792

Provider Business Practice Location Address
First Line	:	964 DELAWARE AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14209-1806
Country	:	US
Telephone Number	:	716-881-2052
Fax Number	:	716-881-2053

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID VINTI
Credential	:	BA, CNMT
Telephone Number	:	716-881-2052

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	08/22/2020

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