National Provider Identifier Database

EXECUTIVE DIAGNOSIS SERVICE
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

EXECUTIVE DIAGNOSIS SERVICE
39 AYCRIGG AVENUE
PASSAIC, NJ07055
Phone: 551-587-1150
Fax: 973-777-1636
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for EXECUTIVE DIAGNOSIS SERVICE

NPI Number 1841501244
Legal business name
LBN
EXECUTIVE DIAGNOSIS SERVICE
Authorized official ANA DELACRUZ - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/30/2010
Last updated 06/30/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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