Provider Demographics
NPI:1871835462
Name:MES DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:MES DIAGNOSTICS, LLC
Other - Org Name:NOA DIAGNOSTICS OF NJ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-986-2700
Mailing Address - Street 1:6851 JERICHO TPKE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4494
Mailing Address - Country:US
Mailing Address - Phone:516-986-2700
Mailing Address - Fax:516-986-2710
Practice Address - Street 1:100 WOOD AVE S
Practice Address - Street 2:SUITE 110
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2727
Practice Address - Country:US
Practice Address - Phone:516-986-2700
Practice Address - Fax:516-986-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile