Provider Demographics
NPI:1588807564
Name:YANA'S DIAGNOSTIC TESTING INC
Entity Type:Organization
Organization Name:YANA'S DIAGNOSTIC TESTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:IKHILEVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-407-6858
Mailing Address - Street 1:197 ROUTE 18 STE 300
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1440
Mailing Address - Country:US
Mailing Address - Phone:917-407-6858
Mailing Address - Fax:
Practice Address - Street 1:197 ROUTE 18 STE 300
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1440
Practice Address - Country:US
Practice Address - Phone:917-407-6858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile