Organization Active NPI

Church-McDonald Medical Diagnosis PLLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Brooklyn, NY
National Provider Identifier
1386191633
Registry record updated Sep 3, 2016
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
CHURCH-MCDONALD MEDICAL DIAGNOSIS PLLC
Practice address
486 McDonald Ave
Brooklyn, NY 11218-3812
Phone
(718) 247-7226
Fax
(914) 500-6570
NPI assigned
Sep 3, 2016
Last updated
Sep 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2016

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

Authorized official

Name
Dr. Inamulhaque M Saboor, M.D.NPI 1891867859
Title
President
Phone
(718) 247-7226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

486 McDonald Ave
Brooklyn, NY 11218-3812

Mailing address

486 McDonald Ave
Brooklyn, NY 11218-3812
Phone (718) 247-7226

National Provider Directory

National Provider Directory
Tax ID family
Church-McDonald Medical Diagnosis PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472860800000",
    "number": "1386191633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183812",
            "telephone_number": "718-247-7226",
            "fax_number": "914-500-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183812",
            "telephone_number": "718-247-7226",
            "fax_number": "914-500-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH-MCDONALD MEDICAL DIAGNOSIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-03",
        "last_updated": "2016-09-03",
        "status": "A",
        "authorized_official_last_name": "SABOOR",
        "authorized_official_first_name": "INAMULHAQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-247-7226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; 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.