Organization
ALL STATE DIAGNOSTICS MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMIRA DINIZ (PRESIDENT)
(631) 366-3030
Entity
Organization
Contact information
Practice address
363 ROUTE 111 STE LL4A, SMITHTOWN, NY 11787-4756
(631) 366-3030
(631) 366-3033
Mailing address
363 ROUTE 111 STE LL4A, SMITHTOWN, NY 11787-4756
(631) 366-3030
(631) 366-3033
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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