Provider Demographics
NPI:1184916728
Name:RMM DIAGNOSTIC MANAGEMENT
Entity type:Organization
Organization Name:RMM DIAGNOSTIC MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-409-4370
Mailing Address - Street 1:3481 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2016
Mailing Address - Country:US
Mailing Address - Phone:718-409-4370
Mailing Address - Fax:718-409-4810
Practice Address - Street 1:3481 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2016
Practice Address - Country:US
Practice Address - Phone:718-409-4370
Practice Address - Fax:718-409-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250526247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty