Provider Demographics
NPI:1518565795
Name:TITAN DIAGNOSTIC IMAGING SERVICES INC.
Entity Type:Organization
Organization Name:TITAN DIAGNOSTIC IMAGING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-335-5140
Mailing Address - Street 1:2 CHASER CT
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2933
Mailing Address - Country:US
Mailing Address - Phone:646-335-5140
Mailing Address - Fax:888-251-1086
Practice Address - Street 1:2 CHASER CT
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-2933
Practice Address - Country:US
Practice Address - Phone:646-335-5140
Practice Address - Fax:888-251-1086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-11
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile