Provider Demographics
NPI:1275729089
Name:IMAGING DIAGNOSTICS IN MOTION, LLC
Entity Type:Organization
Organization Name:IMAGING DIAGNOSTICS IN MOTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:P
Authorized Official - Last Name:BRISTOL
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS, RVS, BS
Authorized Official - Phone:603-437-9621
Mailing Address - Street 1:83 HANOVER ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-2216
Mailing Address - Country:US
Mailing Address - Phone:603-437-9621
Mailing Address - Fax:866-265-3113
Practice Address - Street 1:83 HANOVER ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-2216
Practice Address - Country:US
Practice Address - Phone:603-437-9621
Practice Address - Fax:866-265-3113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-15
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier