Organization
K&A RADIOLOGIC TECHNOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C ANDREWS (PRESIDENT/OWNER)
(315) 437-1622
Entity
Organization
Contact information
Practice address
6400 COLLAMER ROAD, EAST SYRACUSE, NY 13057-1032
(315) 437-1622
(315) 437-3190
Mailing address
6400 COLLAMER ROAD, EAST SYRACUSE, NY 13057-1032
(315) 437-1622
(315) 437-3190
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01676237
—
NY
05
—
01867596
—
NY
Enumeration date
09/06/2005
Last updated
06/17/2008
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