Provider Demographics
NPI:1336492792
Name:IN-HOUSE DIAGNOSTIC SERVICES INC
Entity Type:Organization
Organization Name:IN-HOUSE DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IVAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:CROES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-712-1285
Mailing Address - Street 1:1489 N MILITARY TRL
Mailing Address - Street 2:STE 217
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6029
Mailing Address - Country:US
Mailing Address - Phone:561-712-1285
Mailing Address - Fax:
Practice Address - Street 1:1489 N MILITARY TRL
Practice Address - Street 2:STE 217
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6029
Practice Address - Country:US
Practice Address - Phone:561-712-1285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier