Organization
MOBILE DIAGNOSTIC TST SERV INC
Active
Other names
HealthTrac
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN ROBINSON (PRESIDENT)
(614) 614-3285
Entity
Organization
Contact information
Practice address
3050 WHITESTONE EXPY, SUITE 205, FLUSHING, NY 11354-1995
(800) 626-1616
(718) 358-1082
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020000502
FAMILY HEALTH PLUS
NY
01
—
0073926
GOVT HEALTH
NM
05
—
01731635
—
NY
05
—
01867472
—
NY
01
—
02W51
EMPIRE BC BS
NY
01
—
16-01951
EVERCARE
NY
01
—
162340
ELDERPLAN
NY
01
—
A431846
OXFORD
NY
Enumeration date
02/26/2007
Last updated
01/25/2011
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