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Organization
MAS IMAGING PORTABLE X-RAY INC
Active
Organization
MAS IMAGING PORTABLE X-RAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLO SUAZO (OWNER)
(631) 551-5101
Entity
Organization
Contact information
Practice address
90 ARRIVAL AVE STE 105, RONKONKOMA, NY 11779-7361
(631) 551-5101
Mailing address
90 ARRIVAL AVE STE 105, RONKONKOMA, NY 11779-7361
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
NULL
Other
Enumeration date
08/13/2019
Last updated
10/10/2019
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