Organization
ADVANCED DIGITAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN T ISAACS (PRESIDENT)
(631) 838-8309
Entity
Organization
Contact information
Practice address
4 BOWMAN LN, COMMACK, NY 11725-3205
(631) 838-8309
(631) 910-0333
Mailing address
4 BOWMAN LN, COMMACK, NY 11725-3205
(631) 838-8309
(631) 910-0333
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
H98 1269403 76
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00641071
MEDICARE RAILROAD
NY
Enumeration date
10/15/2007
Last updated
04/07/2018
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