NPIMap

Organization Active NPI

Preventive Diagnostics Inc

  • Mobile Radiology Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1184997041
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PREVENTIVE DIAGNOSTICS INC
Practice address
12 Spencer St
Brooklyn, NY 11205-1891
Phone
(718) 388-3300
Fax
(877) 686-1540
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Mark Tauber
Title
President
Phone
(516) 517-4823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

12 Spencer St
Brooklyn, NY 11205-1891

Mailing address

12 Spencer St
Brooklyn, NY 11205-1891
Phone (516) 517-4716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111227000198 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9436327608 Practice locations: Brooklyn, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Preventive Diagnostics Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1184997041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051891",
            "telephone_number": "516-517-4716",
            "fax_number": "877-686-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051891",
            "telephone_number": "718-388-3300",
            "fax_number": "877-686-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-517-4823"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.