Organization
EKHOSDIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDOR ZAKHAROV (OWNER)
(201) 606-3693
Entity
Organization
Contact information
Practice address
414 59TH ST APT 2, WEST NEW YORK, NJ 07093-1172
(201) 606-3693
Mailing address
414 59TH ST APT 2, WEST NEW YORK, NJ 07093-1172
(201) 606-3693
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
08/22/2021
Last updated
11/17/2021
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