Organization
CRYSTAL CLEAR DIAGNOSTICS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOHN CORNEY (PRESIDENT)
(914) 330-3562
Entity
Organization
Contact information
Practice address
2601 BELMAR BLVD, WALL, NJ 07719
(732) 280-0455
(732) 280-0453
Mailing address
2601 BELMAR BLVD, WALL, NJ 07719
(732) 280-0455
(732) 280-0453
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
59023555
NY
Other
Enumeration date
05/19/2006
Last updated
07/23/2009
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