Provider Demographics
NPI:1841393063
Name:NUCLEAR DIAGNOSTICS INC.
Entity Type:Organization
Organization Name:NUCLEAR DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VINTI
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CNMT
Authorized Official - Phone:716-881-2052
Mailing Address - Street 1:3 ACORN CIR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-4846
Mailing Address - Country:US
Mailing Address - Phone:716-597-6117
Mailing Address - Fax:716-662-4792
Practice Address - Street 1:964 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1806
Practice Address - Country:US
Practice Address - Phone:716-881-2052
Practice Address - Fax:716-881-2053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine TechnologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0850Medicare ID - Type Unspecified