Provider Demographics
NPI:1275672826
Name:INDUSTRIAL MEDICAL X-RAY, INC
Entity Type:Organization
Organization Name:INDUSTRIAL MEDICAL X-RAY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:R
Authorized Official - Last Name:VASILE
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:212-563-3730
Mailing Address - Street 1:110 W 34TH ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2115
Mailing Address - Country:US
Mailing Address - Phone:212-563-3730
Mailing Address - Fax:212-760-6383
Practice Address - Street 1:110 W 34TH ST
Practice Address - Street 2:SUITE 406
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2115
Practice Address - Country:US
Practice Address - Phone:212-563-3730
Practice Address - Fax:212-760-6383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory