Provider Demographics
NPI:1033498274
Name:CLEAR DIAGNOSTIC SOLUTIONS INC
Entity Type:Organization
Organization Name:CLEAR DIAGNOSTIC SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-413-5040
Mailing Address - Street 1:21455 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1733
Mailing Address - Country:US
Mailing Address - Phone:718-413-5040
Mailing Address - Fax:949-798-6806
Practice Address - Street 1:21455 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1733
Practice Address - Country:US
Practice Address - Phone:718-413-5040
Practice Address - Fax:949-798-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Multi-Specialty