Prime Diagnostic Imaging Corp.
NPI #1669684734 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1669684734
- Entity Type
- Organization
- Organization Name
- Prime Diagnostic Imaging Corp.
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 3, 2007
- Last Updated
- Dec 12, 2008
Practice Location
- Address
- 3075 VETERANS MEMORIAL HWY
- Address 2
- SUITE 160
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-7667
- Phone
- (631) 648-8860
Authorized Official
- Name
- STEPHANIE MARIE MOSS
- Title
- PRESIDENT
- Phone
- (631) 648-8860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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