Organization
PRIMEX PORTABLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HURTADO (AGENT)
(347) 335-3151
Entity
Organization
Contact information
Practice address
6045 75TH ST # 1, MIDDLE VILLAGE, NY 11379-5223
(347) 335-3151
Mailing address
6045 75TH ST # 1, MIDDLE VILLAGE, NY 11379-5223
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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