Organization
SUMMIT IMAGING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BONAN R.T.R. (PRESIDENT)
(518) 798-0886
Entity
Organization
Contact information
Practice address
15 ASHLEY PL, QUEENSBURY, NY 12804-2503
(518) 798-0886
(518) 743-1560
Mailing address
15 ASHLEY PL, QUEENSBURY, NY 12804-2503
(518) 798-0886
(518) 743-1560
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
56016688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01800788
—
NY
Enumeration date
11/02/2005
Last updated
07/23/2010
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