Provider Demographics
NPI:1881038263
Name:HEALTH DIAGNOSTICS INC.
Entity Type:Organization
Organization Name:HEALTH DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-753-2163
Mailing Address - Street 1:22841 ZION PKWY NW
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:MN
Mailing Address - Zip Code:55005-9315
Mailing Address - Country:US
Mailing Address - Phone:763-753-2163
Mailing Address - Fax:
Practice Address - Street 1:22841 ZION PKWY NW
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:MN
Practice Address - Zip Code:55005-9315
Practice Address - Country:US
Practice Address - Phone:763-753-2163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier