# MAIMONIDES DIAGNOSTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144803644
- **Authorized official:** ADDE KHANATAYEV (PARTNER)
- **Authorized official phone:** (718) 747-4132

## Contact information

- **Practice address:** 1701 AVENUE P STE M, BROOKLYN, NY 11229-1205
- **Practice address phone:** (646) 821-5229
- **Mailing address:** 205 ROCKAWAY AVE \# 3008, VALLEY STREAM, NY 11580-5825
- **Mailing address phone:** (718) 747-4132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2021
- **Last updated:** 05/03/2021