# MEDEX DIAGNOSTIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1457537904
- **Authorized official:** SVETLANA JOSAN (PRESIDENT)
- **Authorized official phone:** (917) 704-3883

## Contact information

- **Practice address:** 12 VERMEER DR APT 3, SOUTH AMBOY, NJ 08879-2347
- **Practice address phone:** (954) 478-1170
- **Mailing address:** 12 VERMEER DR APT 3, SOUTH AMBOY, NJ 08879-2347

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/15/2008