IMAGE DIAGNOSTIC SERVICES (NPI# 1083974984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083974984 |
| Entity Type | Organization |
| Organization Name | IMAGE DIAGNOSTIC SERVICES |
| Practice Address |
2 Kennedy Boulevard East Brunswick NJ 08816 |
| Practice Telephone | 7327772588 |
| Practice Fax Number | 7328391071 |
| Mailing Telephone | 7327772588 |
| Mailing Fax Number | 7328391071 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | MR. PETER GUDAITIS (PRESIDENT) |
| Authorized Official Telephone | 7327772588 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACULABS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
2 KENNEDY BOULEVARD |
| City | EAST BRUNSWICK |
| State | NJ |
| Zip Code | 08816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1790393247 | Caring Homecare LLC | Home Health | 723 Nj - 18, East Brunswick, NJ 08816 | 2020-07-21 |
| 1710527957 | Sophisticated Ventures LLC | Home Health | 197 Nj-18 South Suite 3000, East Brunswick, NJ 08816 | 2020-01-15 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1083199012 | Kami Ives | Speech-Language Pathologist | 431 Cranbury Rd., East Brunswick, NJ 08816 | 2018-09-25 |
| 1316442460 | Emily Katherine Smith | Physician Assistant | 418 Route 18, East Brunswick, NJ 08816 | 2018-03-29 |
| 1942713649 | Apluscare, LLC | Community/Behavioral Health | 3105 Commons Dr, East Brunswick, NJ 08816 | 2017-11-16 |
| 1093234338 | Larissa Rachel Elk | Occupational Therapist | 11 Mayfair Court, East Brunswick, NJ 08816 | 2017-09-19 |
| Find all providers in zip 08816 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093749087 | Aculabs Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kennedy Blvd, East Brunswick, NJ 08816-1248 | 2006-07-10 |
| 1699217539 | Sky Mobile Digital Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kennedy Blvd, East Brunswick, NJ 08816-1248 | 2016-11-09 |
| 1740513662 | Galaxy Mobile Diagnostics Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kennedy Blvd, 2nd Floor, East Brunswick, NJ 08816-1248 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154812949 | Emergency Mobile Radiology | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 50 S Michigan Ave, Kenilworth, NJ 07033-1739 | 2018-05-29 |
| 1972007334 | Triton Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 119 Ivy Ln, Tenafly, NJ 07670-2410 | 2018-03-21 |
| 1447633219 | Divine Care Health Staffing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 170 Bergen Ave Ste B, New Milford, NJ 07646-2806 | 2015-06-29 |
| 1053742874 | Pdi Health LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 River St Ste 9, Hoboken, NJ 07030-5990 | 2013-12-04 |
| 1508119660 | Sigl LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11-06 Fair Lawn Ave, Fair Lawn, NJ 07410-2228 | 2012-10-25 |
| 1346596418 | Mes Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 100 Wood Ave S, Suite 110, Iselin, NJ 08830-2727 | 2012-07-26 |
| 1417268004 | Reliant Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 200 Winston Dr Apt 2811, Cliffside Park, NJ 07010-3231 | 2010-06-29 |
| 1912138629 | Care Diagnostics Limited Liability Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 180 Park Ave S, Lakewood, NJ 08701-3556 | 2009-07-29 |
| 1225268600 | Cardiovascular Onsite Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Hancock Ct, Plainsboro, NJ 08536 | 2009-07-21 |
| 1073742623 | Mds Digital Xray Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 862 Newark Ave, Ste 103, Jersey City, NJ 07306-5162 | 2009-07-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST BRUNSWICK |
| Zip Code | 08816 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.