Organization · NPI-2
Modern Medical Testing, P.C.
Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier · Brooklyn, NY
NPI number1639600604
StatusActive
Last updated in NPPESMar 22, 2017
Details
- NPI
- 1639600604
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Medical Testing, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 22, 2017
- Last updated
- Mar 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335V00000X | Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | – | – | Yes |
Practice location
3048 Brighton 1st StSuite 205
Brooklyn, NY 11235-8080
Phone 718-942-5440
Mailing address
3048 Brighton 1st StSuite 205
Brooklyn, NY 11235-8080
Authorized official
Marina Brooks
Manager
7189425440
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