Provider Demographics
NPI:1588838395
Name:JFK DIAGNOSTIC, INC
Entity Type:Organization
Organization Name:JFK DIAGNOSTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:SASSO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-974-3456
Mailing Address - Street 1:5663 CORAL GATE BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-1531
Mailing Address - Country:US
Mailing Address - Phone:954-974-3456
Mailing Address - Fax:954-974-3568
Practice Address - Street 1:5663 CORAL GATE BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-1531
Practice Address - Country:US
Practice Address - Phone:954-974-3456
Practice Address - Fax:954-974-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty