Active NPI
Portable Diagnostics Inc
- Sonography Radiologic Technologist
- Dix Hills, NY
National Provider Identifier
1184867582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170203001669 | NY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1355624008 | Practice locations: Dix Hills, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Valley Stream, NY
- NPI 1477550135
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.