PREVENTIVE DIAGNOSTICS INC (NPI# 1184997041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184997041 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE DIAGNOSTICS INC |
| Practice Address |
12 Spencer St Brooklyn NY 11205-1891 |
| Practice Telephone | 7183883300 |
| Practice Fax Number | 7182289317 |
| Mailing Telephone | 7183883330 |
| Mailing Fax Number | 7182289317 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | MARK TAUBER (PRESIDENT) |
| Authorized Official Telephone | 7183883300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801343660 | Preventive Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7300 Frankford Ave, Philadelphia, PA 19136-4305 | 2016-09-08 |
| 1316254857 | Preventive Diagnostics Inc | Technician, Cardiology | 6700 Alexander Bell Dr Ste 200, Columbia, MD 21046-2105 | 2010-09-03 |
| 1497201941 | Preventive Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Grove St, 105, New Britain, CT 06053-4116 | 2016-08-25 |
| Street Address |
12 SPENCER ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11205-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559677 | Thrive Medical Services PC | Internal Medicine | 12 Spencer St, Brooklyn, NY 11205-1891 | 2020-08-18 |
| 1174068621 | Preventive Diagnostics Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12 Spencer St, Brooklyn, NY 11205-1891 | 2016-12-19 |
| 1578907242 | Pdi Health LLC | Clinic/Center | 12 Spencer St, Brooklyn, NY 11205-1891 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517176 | Hind Ibrahim | Speech-Language Pathologist | 195 Sanford Street, Brooklyn, NY 11205 | 2017-09-20 |
| 1710402573 | Pierrette Augustin | Registered Nurse | 84 Carlton Ave, Apt. 5a, Brooklyn, NY 11205 | 2017-08-13 |
| 1104368422 | Damali Robinson | Speech-Language Pathologist | 195 Willoughby Avenue, Apartment 609, Brooklyn, NY 11205 | 2016-11-17 |
| 1316304413 | Kyung Han | Case Manager/Care Coordinator | 950 Kent Avenue, 3f, Brooklyn, NY 11205 | 2016-01-20 |
| 1285039081 | Shani Jordan-goldman | Dietitian, Registered | 80 Vanderbilt Ave, Brooklyn, NY 11205 | 2014-10-23 |
| 1205274719 | Kaitlyn M Rindos | Speech-Language Pathologist | 805 Kent Avenue, Suite 101, Brooklyn, NY 11205 | 2013-06-06 |
| 1386985323 | Rose Marie Demosthene | Registered Nurse | Cumberland D&tc, 100 North Portland Avenue, Brooklyn, NY 11205 | 2013-03-14 |
| 1780940627 | Michele Goldman | Registered Nurse | 195 Sandford Street, Brooklyn, NY 11205 | 2012-04-04 |
| 1629202312 | Safeway Medical Supplies | Durable Medical Equipment & Medical Supplies | 196 Clinton Ave, Suite C25, Brooklyn, NY 11205 | 2009-05-08 |
| 1811136286 | Susan Jarrell | Acupuncturist | 208 Washington Park Apt 1b, Brooklyn, NY 11205 | 2009-02-09 |
| Find all providers in zip 11205 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245674175 | Preventive Idtf Inc. | Clinic/Center | 544 Park Ave, 610, Brooklyn, NY 11205-1600 | 2013-04-22 |
| 1962845388 | Imglobal Inc | Clinic/Center | 704 Desmond Ct, Brooklyn, NY 11235-4202 | 2013-04-16 |
| 1083954259 | Amerimed Imaging Services Inc. | Clinic/Center | 154 Avenue U, Brooklyn, NY 11223-3604 | 2013-02-25 |
| 1043561509 | Metro Diagnostic Solutions Inc | Clinic/Center | 2316 Emmons Ave Apt 3a, Brooklyn, NY 11235 | 2012-09-25 |
| 1679890131 | Med Tech Services Inc | Clinic/Center | 1711 W 10th St, Brooklyn, NY 11223-1148 | 2010-04-23 |
| 1932433984 | Expert Diagnostic Imaging, Inc | Clinic/Center | 1125 Gilmore Ct, Brooklyn, NY 11235-5113 | 2009-09-23 |
| 1912388299 | East Shore Diagnostics Inc | Clinic/Center | 7506 16th Ave, Ste2, Brooklyn, NY 11214-1064 | 2015-06-12 |
| 1386081990 | Mg Globalservices Inc | Clinic/Center | 1125 Gilmore Ct, Brooklyn, NY 11235-5113 | 2013-05-23 |
| 1578907242 | Pdi Health LLC | Clinic/Center | 12 Spencer St, Brooklyn, NY 11205-1891 | 2013-04-24 |
| 1992019400 | Pro Imaging Services Co | Clinic/Center | 2108 W 7th St, Suite D, Brooklyn, NY 11223-3754 | 2010-07-27 |
| Find all providers in BROOKLYN | ||||
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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.