Provider Demographics
NPI:1316416126
Name:VERTEX MOBILE DIAGNOSTICS INC
Entity Type:Organization
Organization Name:VERTEX MOBILE DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DILSHOD
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAMOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-701-5005
Mailing Address - Street 1:1810 VOORHIES AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3313
Mailing Address - Country:US
Mailing Address - Phone:833-837-8396
Mailing Address - Fax:646-661-3259
Practice Address - Street 1:1810 VOORHIES AVE STE 10
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3313
Practice Address - Country:US
Practice Address - Phone:833-837-8396
Practice Address - Fax:646-661-3259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty