# NORTH SHORE MOBILE RADIOGRAPHY & TESTING, INC

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

## Provider details

- **NPI number:** 1336468065
- **Authorized official:** MR. CHRISTOPHER JAINES BROWN L.R.T (OWNER/OPERATOR)
- **Authorized official phone:** (516) 676-5264

## Contact information

- **Practice address:** 120 WOOLSEY AVE, GLEN COVE, NY 11542-1808
- **Practice address phone:** (516) 776-2097
- **Practice address fax:** (516) 676-5264
- **Mailing address:** 120 WOOLSEY AVE, GLEN COVE, NY 11542-1808
- **Mailing address phone:** (516) 676-5264
- **Mailing address fax:** (516) 676-5264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 449221 | NY | Yes |

## Other

- **Enumeration date:** 05/20/2010
- **Last updated:** 07/29/2010