Provider Demographics
NPI:1851796585
Name:NATIONAL DIAGNOSTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:NATIONAL DIAGNOSTIC SOLUTIONS LLC
Other - Org Name:NDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-474-9253
Mailing Address - Street 1:1500 LOCUST STREET
Mailing Address - Street 2:STE. 3305
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-9461
Mailing Address - Country:US
Mailing Address - Phone:407-474-9253
Mailing Address - Fax:267-740-1045
Practice Address - Street 1:505 W 37TH STREET
Practice Address - Street 2:STE 404
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:19102-9998
Practice Address - Country:US
Practice Address - Phone:407-474-9253
Practice Address - Fax:267-740-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile