Provider Demographics
NPI:1083724991
Name:I.M.S. IMAGING MEDICAL SOLUTIONS INC
Entity Type:Organization
Organization Name:I.M.S. IMAGING MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LENIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-781-1900
Mailing Address - Street 1:PO BOX 763
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-0594
Mailing Address - Country:US
Mailing Address - Phone:212-781-1900
Mailing Address - Fax:212-781-7359
Practice Address - Street 1:629 W 185ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-2412
Practice Address - Country:US
Practice Address - Phone:212-781-1900
Practice Address - Fax:212-781-7359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA300020549OtherMEDICARE PROVIDER NUMBER