Organization Active NPI

Portable Diagnostics Inc

  • Sonography Radiologic Technologist
  • Dix Hills, NY
National Provider Identifier
1184867582
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
PORTABLE DIAGNOSTICS INC
Practice address
20 Brycewood Dr
Dix Hills, NY 11746-4913
Phone
(516) 647-6363
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Laurie Pfister
Title
Administrator
Phone
(516) 578-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

20 Brycewood Dr
Dix Hills, NY 11746-4913

Mailing address

20 Brycewood Dr
Dix Hills, NY 11746-4913
Phone (516) 647-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170203001669 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355624008 Practice locations: Dix Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1184867582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRYCEWOOD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464913",
            "telephone_number": "516-647-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRYCEWOOD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464913",
            "telephone_number": "516-647-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "PFISTER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-578-6477"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.