NPIMap

Organization Active NPI

Mas Imaging Portable X-Ray Inc

  • Mobile Radiology Clinic/Center
  • Ronkonkoma, NY
National Provider Identifier
1821411489
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MAS IMAGING PORTABLE X-RAY INC
Practice address
90 Arrival Ave Ste 105
Ronkonkoma, NY 11779-7361
Phone
(631) 912-7476
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Marlo Suazo
Title
Owner
Phone
(631) 912-7476

Specialties & licenses 1

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

Addresses

Primary practice location

90 Arrival Ave Ste 105
Ronkonkoma, NY 11779-7361

Mailing address

90 Arrival Ave Ste 105
Ronkonkoma, NY 11779-7361
Phone (631) 912-7476

National Provider Directory

National Provider Directory
Tax ID family
Mas Imaging Portable Xray Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1821411489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ARRIVAL AVE STE 105",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797361",
            "telephone_number": "631-912-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ARRIVAL AVE STE 105",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797361",
            "telephone_number": "631-912-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAS IMAGING PORTABLE X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "SUAZO",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-912-7476"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.