Preventive Diagnostics Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PREVENTIVE DIAGNOSTICS INC

Practice address

1 Grove St
105
New Britain, CT 06053-4116

Phone

(718) 388-3300

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Menachem Tauber

Title

Ceo

Phone

(718) 388-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Portable X-ray supplier certification: CCN 07X0009830

Legal name

PREVENTIVE DIAGNOSTICS INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Nov 17, 2016

Last certification

Nov 17, 2016

Ownership / control type

Corporation

Facility address

1 Grove Street, Ste 105
New Britain, CT 06053

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Preventive Diagnostics Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Columbus, OH
  • NPI 1316254857

  O20160914001529

  Same enrollment

Locations

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1497201941",
    "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": "718-388-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GROVE ST",
            "address_2": "105",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060534116",
            "telephone_number": "718-388-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-388-3300"
    },
    "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": []
}

• Pearl Poteat
• Sandra A Powell, RN,LMFT
• Ciara Pray
• Angel Preece, RN
• Ilana Ruth Klein Prenovitz, D.O.
• Preventive Diagnostics Inc.
• Rashida M. Price, MSW
• Primal Roots Midwifery LLC
• Michael Probert, LCSW
• Michael Christopher Proffitt, MSN

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New Britain, CT
• Providers in New Britain, CT by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.