Healthcare Provider Details

I. General information

NPI: 1912138629
Provider Name (Legal Business Name): CARE DIAGNOSTICS LIMITED LIABILITY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 12/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 PARK AVE S
LAKEWOOD NJ
08701-3556
US

IV. Provider business mailing address

119 GOVERNORS RD
LAKEWOOD NJ
08701-1462
US

V. Phone/Fax

Practice location:
  • Phone: 917-873-2936
  • Fax:
Mailing address:
  • Phone: 917-873-2936
  • Fax:

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: MEIR SINGER
Title or Position: OWNER
Credential:
Phone: 917-873-2936