MODERN MEDICAL TESTING, P.C.


Address: 3048 Brighton 1st St, Suite 205, Brooklyn, NY 11235-8080
Phone: 7189425440

MODERN MEDICAL TESTING, P.C. (NPI# 1639600604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639600604
Entity Type Organization
Organization Name MODERN MEDICAL TESTING, P.C.
Practice Address 3048 Brighton 1st St
Suite 205
Brooklyn
NY 11235-8080
Practice Telephone 7189425440
Enumeration Date 2017-03-22
Last Update Date 2017-03-22
Authorized Official Name MARINA BROOKS (MANAGER)
Authorized Official Telephone 7189425440
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers

Office Location

Street Address 3048 BRIGHTON 1ST ST
SUITE 205
City BROOKLYN
State NY
Zip Code 11235-8080

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1427661198 Kizzy Marie Salguero Social Worker 2625, East 14th Street Suite 200, Brooklyn, NY 11235 2020-08-24
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1831759323 Daniel Groisman Case Manager/Care Coordinator 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 2019-06-17
1013577998 Aaron Rene Allick Douen Student in an Organized Health Care Education/Training Program 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 2019-06-13
1609431162 Anna Pozdner Speech-Language Pathologist 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 2019-05-09
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified]

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Competitor

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City BROOKLYN
Zip Code 11235

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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