Provider Demographics
NPI:1275397879
Name:MOBILE ECHOCARDIOGRAPHY DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:MOBILE ECHOCARDIOGRAPHY DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SONOGRAPHY
Authorized Official - Prefix:MR
Authorized Official - First Name:SLIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMDARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-986-6460
Mailing Address - Street 1:30 KELTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-2616
Mailing Address - Country:US
Mailing Address - Phone:518-986-6460
Mailing Address - Fax:
Practice Address - Street 1:7 SOUTHSIDE DR
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3887
Practice Address - Country:US
Practice Address - Phone:518-859-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier