Provider Demographics
NPI:1245267699
Name:OMEGA DIAGNOSTIC IMAGING, P.C.
Entity type:Organization
Organization Name:OMEGA DIAGNOSTIC IMAGING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-332-1999
Mailing Address - Street 1:PO BOX 29922
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-9922
Mailing Address - Country:US
Mailing Address - Phone:718-332-1999
Mailing Address - Fax:718-332-4192
Practice Address - Street 1:1525 VOORHIES AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3961
Practice Address - Country:US
Practice Address - Phone:718-332-1999
Practice Address - Fax:718-332-4192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWR4731Medicare PIN