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NPI 1780137026

NPI 1780137026 : GLOBAL MEDICAL DIAGNOSTICS INC : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1780137026
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    Entity Type          |    Organization 
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    Legal Business Name  |    GLOBAL MEDICAL DIAGNOSTICS INC 
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Dates
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    Enumeration Date     |    08/03/2016
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    Last Update Date     |    08/03/2016
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Provider Practice Location Address
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    Address Line         |    4864 ARTHUR KILL RD 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10309-2650
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    Country              |    US
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    Telephone            |    646-801-6367
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    Fax                  |    718-761-3162
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Provider Business Mailing Address
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    Address Line         |    272 DARLINGTON AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10312-2650
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    Country              |    US
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    Telephone            |    646-801-6367
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    Fax                  |    718-761-3162
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Authorized Official
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    Title or Position    |    BILLER
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    Name                 |    MRS. ROSEANN  METCALF 
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    Credential           |    BILLER
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    Telephone            |    646-801-6367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335V00000X
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    Taxonomy Name        |    Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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    License Number       |    
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    License Number State |    
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