Provider Demographics
NPI:1366824237
Name:NOA DIAGNOSITCS OF OH LLC
Entity Type:Organization
Organization Name:NOA DIAGNOSITCS OF OH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:O'SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-986-2706
Mailing Address - Street 1:6851 JERICHO TPKE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4494
Mailing Address - Country:US
Mailing Address - Phone:516-986-2700
Mailing Address - Fax:516-986-2710
Practice Address - Street 1:6851 JERICHO TPKE
Practice Address - Street 2:SUITE 150
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4494
Practice Address - Country:US
Practice Address - Phone:516-986-2700
Practice Address - Fax:516-986-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier