Organization
IMAX SUPPLY INC
Active
Organization
IMAX SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANA HUSSAIN (CEO)
(602) 412-6091
Entity
Organization
Contact information
Practice address
2995 MARION AVE APT 4E, BRONX, NY 10458-1772
(602) 412-6091
Mailing address
14588 176TH ST, JAMAICA, NY 11434-5230
(602) 412-6091
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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