EXECUTIVE DIAGNOSIS SERVICE; NPI #1841501244

Contact Information

EXECUTIVE DIAGNOSIS SERVICE

39 AYCRIGG AVENUE
PASSAIC, NJ 07055

Phone: 551-587-1150
Fax: 973-777-1636
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiologic Technologist	247100000X

Indicates primary specialty

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NPI Profile & details for EXECUTIVE DIAGNOSIS SERVICE

NPI #	`1841501244`
LBN Legal business name	EXECUTIVE DIAGNOSIS SERVICE
Authorized official	ANA DELACRUZ - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/30/2010
Last updated	06/30/2010 - About 16 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EXECUTIVE DIAGNOSIS SERVICE

Contact Information

Specialty

Radiologic Technologist

NPI Profile & details for EXECUTIVE DIAGNOSIS SERVICE

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