Organization
MOBILE DIAGNOSTIC TESTING SERVICES INC
Active
Other names
HealthTrac
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN ROBINSON (PRESIDENT)
(716) 614-3285
Entity
Organization
Contact information
Practice address
4950 GENESEE ST, SUITE 180, BUFFALO, NY 14225-5550
(716) 614-3260
(716) 614-3282
Mailing address
4950 GENESEE ST, SUITE 180, BUFFALO, NY 14225-5550
(716) 614-3260
(716) 614-3282
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020000502
UNIVERA
NY
01
—
000510159003
BCBS WNY
NY
01
—
0073926
GHI
NY
05
—
01712505
—
NY
05
—
01867490
—
NY
01
—
7602181
IHA
NY
Enumeration date
08/30/2006
Last updated
11/04/2008
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