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NPI Code Detail

MEDICARE: UNIQUE MOBILE DIAGNOSTIC SERVICES

MEDICARE: UNIQUE MOBILE DIAGNOSTIC SERVICES
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1215208228
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIQUE MOBILE DIAGNOSTIC SERVICES
Provider Business Mailing Address
First Line : 354 CROWN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-3006
Country : US
Telephone Number : 718-809-6497
Fax Number : 877-442-3840
Provider Business Practice Location Address
First Line : 281 BROOKLYN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213
Country : US
Telephone Number : 718-467-2647
Fax Number : 877-442-3840
Authorized Official
Title or Position : PRES
Name : AARON JUNIK
Credential :
Telephone Number : 718-467-2647
Provider Enumeration Date : 01/23/2012
Last Update Date : 01/23/2012

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Directions to “UNIQUE MOBILE DIAGNOSTIC SERVICES ” Practice Location

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