A.K. Diagnostic Imaging, PC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

113253-1 Issued in NY

Legal business name

A.K. DIAGNOSTIC IMAGING, PC

Practice address

17561 Hillside Ave
Suite 202
Jamaica, NY 11432-5733

Phone

(718) 291-5251

Fax

(718) 291-5252

NPI assigned

Oct 6, 2009

Last updated

Oct 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ayoob Khodadadi, MD

Title

Owner

Phone

(718) 291-5251

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1235464470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17561 HILLSIDE AVE",
            "address_2": "SUITE 202",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325733",
            "telephone_number": "718-291-5251",
            "fax_number": "718-291-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17561 HILLSIDE AVE",
            "address_2": "SUITE 202",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325733",
            "telephone_number": "718-291-5251",
            "fax_number": "718-291-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.K. DIAGNOSTIC IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "KHODADADI",
        "authorized_official_first_name": "AYOOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-291-5251",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NY",
            "license": "113253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.