1stop Dx LLC
Health Maintenance Organization in New York, NY. Organization (NPI-2).
NPI number1659950137
StatusActive
Last updated in NPPESApr 3, 2021
Details
- NPI
- 1659950137
- Entity type
- Organization (NPI-2)
- Legal business name
- 1stop Dx LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2021
- Certification date
- Apr 3, 2021
- Last updated
- Apr 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
99 Wall StNew York, NY 10005-4301
Phone 908-342-0857
Mailing address
129 William StPerth Amboy, NJ 08861-3537
Phone 908-342-0857
Authorized official
Juan Pena
Managing Member
9083420857
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