Provider Demographics
NPI:1356501183
Name:ADVANCED DIAGNOSTIC SERVICES AT HUTCHINSON INC
Entity Type:Organization
Organization Name:ADVANCED DIAGNOSTIC SERVICES AT HUTCHINSON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-543-0700
Mailing Address - Street 1:1250 WATERS PLACE
Mailing Address - Street 2:SUITE 505 A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-543-0700
Mailing Address - Fax:
Practice Address - Street 1:1250 WATERS PLACE
Practice Address - Street 2:SUITE 505 A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-543-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic