| Organization Name: | PORTABLE DIAGNOSTICS INC |
| NPI Number: | 1184867582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE PFISTER (ADMINISTRATOR) |
| Mailing Address: | 20 Brycewood Dr Dix Hills |
| State: | NY US |
| Postal Code: | 117464913 |
| Phone Number: | 5166476363 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2009 |
| NPI Last Update Date: | 04/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |