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NPI Code Detail

MEDICARE: STAT PORTABLE X-RAY INC

MEDICARE: STAT PORTABLE X-RAY 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
1246X00000XCardiovascular Specialist/TechnologistH981204506 76NY
22471S1302XSonography Radiologic TechnologistH98120450676NY

General Provider Information

NPI Number : 1083871248
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAT PORTABLE X-RAY INC
Provider Business Mailing Address
First Line : 21118 UNION TPKE
Second Line :
City : BAYSIDE
State : NY
Zip : 11364-3241
Country : US
Telephone Number : 718-217-8000
Fax Number : 718-217-5485
Provider Business Practice Location Address
First Line : 21118 UNION TPKE
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-3241
Country : US
Telephone Number : 718-217-8000
Fax Number : 718-217-5485
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. ALEXANDER PLATSCHEK
Credential :
Telephone Number : 718-217-8000
Provider Enumeration Date : 05/16/2008
Last Update Date : 02/23/2012

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Directions to “STAT PORTABLE X-RAY INC ” Practice Location

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