Healthcare Provider Details

I. General information

NPI: 1013217769
Provider Name (Legal Business Name): SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2010
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7776 S POINTE PKWY W STE 150A
PHOENIX AZ
85044-5427
US

IV. Provider business mailing address

215 SCHILLING CIR STE 114
HUNT VALLEY MD
21031-1113
US

V. Phone/Fax

Practice location:
  • Phone: 800-786-8015
  • Fax:
Mailing address:
  • Phone: 800-786-8015
  • Fax: 443-662-4230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: BRIAN C CUOMO
Title or Position: AUTHORIZED OFFICIAL/CFO
Credential:
Phone: 800-786-8015