| Organization Name: | NOA DIAGNOSTICS OF RI LLC |
| NPI Number: | 1083083927 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVAN JASSER (PRESIDENT) |
| Mailing Address: | 6851 Jericho Tpke Suite 150 Syosset |
| State: | NY US |
| Postal Code: | 117914494 |
| Phone Number: | 5169862700 |
| Fax Number: | 5169862710 |
| NPI Enumeration Date: | 09/22/2015 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |