Provider Demographics
NPI:1497059760
Name:NORTH COUNTY DIAGNOSTICS
Entity Type:Organization
Organization Name:NORTH COUNTY DIAGNOSTICS
Other - Org Name:NCD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-757-7244
Mailing Address - Street 1:PO BOX 4314
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63006-4314
Mailing Address - Country:US
Mailing Address - Phone:314-757-7244
Mailing Address - Fax:757-215-0779
Practice Address - Street 1:11115 NEW HALLS FERRY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-7613
Practice Address - Country:US
Practice Address - Phone:314-757-7244
Practice Address - Fax:757-215-0779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology