Healthcare Provider Details

I. General information

NPI: 1790619310
Provider Name (Legal Business Name): VISTA IMAGING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 48TH ST
UNION CITY NJ
07087-6439
US

IV. Provider business mailing address

120 48TH ST
UNION CITY NJ
07087-6439
US

V. Phone/Fax

Practice location:
  • Phone: 201-330-1606
  • Fax:
Mailing address:
  • Phone: 201-330-1606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIKHAIL HEIFITZ
Title or Position: PRESIDENT
Credential:
Phone: 718-288-7722