Organization
101 IMAGING LLC
Active
Other names
ACU SCAN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA G SOOKRAJ (OWNER)
(718) 805-2244
Entity
Organization
Contact information
Practice address
10601 101ST AVE, OZONE PARK, NY 11416-2712
(718) 805-2244
(718) 844-4510
Mailing address
10601 101ST AVE, OZONE PARK, NY 11416-2712
(718) 805-2244
(718) 844-4510
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
41465722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11
RADIOLOGY
NY
Enumeration date
11/25/2014
Last updated
11/25/2014
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