Organization
MOBILE DIAGNOSTIC TST SERV INC
Active
Other names
HealthTrac
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL T MCDONNELL (EXECUTIVE VICE PRESIDENT)
(716) 686-7110
Entity
Organization
Contact information
Practice address
269 SHEFFIELD ST, SUITE 5C, MOUNTAINSIDE, NJ 07092-2318
(908) 518-0150
(718) 886-5762
Mailing address
4950 GENESEE ST, SUITE 180, BUFFALO, NY 14225-5550
(716) 686-7100
(716) 614-3282
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
01/25/2011
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