Comprehensive Diagnostic Imaging Services P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

183957 Issued in NY

Legal business name

COMPREHENSIVE DIAGNOSTIC IMAGING SERVICES P.C.

Practice address

8635 Queens Blvd
Suite 2LM
Elmhurst, NY 11373-4434

Phone

(844) 654-6235

Fax

(941) 681-2845

NPI assigned

Jul 23, 2015

Last updated

Jul 23, 2015By 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

Debbie Bono

Title

Administrator

Phone

(941) 681-2842

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• HC Glick, MD

  • Internal Medicine Physician
  • Roslyn, NY
  • NPI 1215013990
  NPD

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1942685649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD",
            "address_2": "SUITE 2LM",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734434",
            "telephone_number": "844-654-6235",
            "fax_number": "941-681-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD",
            "address_2": "SUITE 2LM",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734434",
            "telephone_number": "844-654-6235",
            "fax_number": "941-681-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DIAGNOSTIC IMAGING SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "BONO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-681-2842"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "183957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02377324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaznia Dyonis Collins, MA, CCC-SLP
• Adara Collu, MD
• Glenda Colon, LMHC
• Community Physical Therapy of Long Island PC
• Complete OT and Ota Services PLLC
• Comprehensive OB & GYN Medical Services, PC
• Kaitlyn Conallen
• Alexander Conant
• Elizabeth Conde, LMSW
• Cono M.Grasso, M.D.P.C. (Comprehensive Ophthalmology)

• Diagnostic Radiology Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.