Organization
MAS IMAGING PORTABLE X-RAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLO SUAZO (OWNER)
(631) 912-7476
Entity
Organization
Contact information
Practice address
90 ARRIVAL AVE STE 105, RONKONKOMA, NY 11779-7361
(631) 912-7476
Mailing address
90 ARRIVAL AVE STE 105, RONKONKOMA, NY 11779-7361
(631) 912-7476
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
02/25/2021
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