East Shore Diagnostics Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

EAST SHORE DIAGNOSTICS INC

Practice address

7506 16TH Ave
Ste2
Brooklyn, NY 11214-1064

Phone

(818) 731-9716

NPI assigned

Jun 12, 2015

Organization subpart

No

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

Authorized official

Name

Ramaz Mitaishvili

Title

President

Phone

(818) 731-9716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1912388299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 16TH AVE",
            "address_2": "STE2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141064",
            "telephone_number": "818-731-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 16TH AVE",
            "address_2": "STE2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141064",
            "telephone_number": "818-731-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "MITAISHVILI",
        "authorized_official_first_name": "RAMAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-731-9716"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East New York Medical Healthcare PC
• East Ny Pharmacy Inc.
• East Orange Foot and Ankle Center LLC
• East River Mental Health Counseling PLLC
• East River Neurology, PC
• East Shore Medical PC
• East Shore Medical PC
• East Sunrise Medical PLLC
• East to West Physical Therapy PC
• Baishun East

• Mobile Radiology Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mobile Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.