Organization
UNITED DIAGONSTIC IMAGING LLC
Active
Other names
A Mobile Imaging Company
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN AHMED RVT, RPVI (PRESIDENT/ TECHNICAL DIRECTOR)
(203) 717-2451
Entity
Organization
Contact information
Practice address
25 RAYMOND ST, STAMFORD, CT 06092
(203) 717-2451
Mailing address
25 RAYMOND ST, STAMFORD, CT 06902-5279
(203) 717-2451
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139269
ARDMS
—
Enumeration date
07/14/2017
Last updated
07/21/2022
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