| Organization Name: | VASCULAR DIAGNOSTIC IMAGING, LLC |
| NPI Number: | 1033433719 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIMA PEKARSKY (OWNER) |
| Mailing Address: | 4 Indian Valley Rd Ramsey |
| State: | NJ US |
| Postal Code: | 074461016 |
| Phone Number: | 2018250910 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2010 |
| NPI Last Update Date: | 03/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0105X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular Sonography |
| Taxonomy Definition: | |