NPIMap

Organization Active NPI

Image Diagnostic Services

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • East Brunswick, NJ
National Provider Identifier
1083974984
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
IMAGE DIAGNOSTIC SERVICES
Practice address
2 Kennedy Boulevard
East Brunswick, NJ 08816
Phone
(732) 777-2588
Fax
(732) 839-1071
NPI assigned
May 24, 2012
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ACULABS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Peter Gudaitis
Title
President
Phone
(732) 777-2588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

2 Kennedy Boulevard
East Brunswick, NJ 08816

Mailing address

2 Kennedy Boulevard
East Brunswick, NJ 08816
Phone (732) 777-2588

National Provider Directory

National Provider Directory
Tax ID family
Aculabs Inc2 organizations share this tax ID, including this one
Part of
Aculabs Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1083974984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KENNEDY BOULEVARD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-777-2588",
            "fax_number": "732-839-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KENNEDY BOULEVARD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-777-2588",
            "fax_number": "732-839-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE DIAGNOSTIC SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACULABS, INC.",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "GUDAITIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-777-2588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.