Provider Demographics
NPI:1023486495
Name:MES DIAGNOSTICS LLC
Entity type:Organization
Organization Name:MES DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:VERNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-261-4223
Mailing Address - Street 1:3049 BRIGHTON 6TH ST
Mailing Address - Street 2:SUITE 7B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3049 BRIGHTON 6TH ST
Practice Address - Street 2:SUITE 7B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3020
Practice Address - Country:US
Practice Address - Phone:718-285-8832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory