Provider Demographics
NPI:1417268004
Name:RELIANT DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:RELIANT DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YIMING
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-386-4799
Mailing Address - Street 1:200 WINSTON DR APT 2811
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3231
Mailing Address - Country:US
Mailing Address - Phone:646-515-7889
Mailing Address - Fax:212-591-6925
Practice Address - Street 1:200 WINSTON DR APT 2811
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-3231
Practice Address - Country:US
Practice Address - Phone:646-515-7889
Practice Address - Fax:212-591-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier