Provider Demographics
NPI:1033185889
Name:ATLAS DIAGNOSTICS INC
Entity type:Organization
Organization Name:ATLAS DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHESKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REICH
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:718-789-1818
Mailing Address - Street 1:1160 60TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4924
Mailing Address - Country:US
Mailing Address - Phone:718-789-1818
Mailing Address - Fax:718-789-1616
Practice Address - Street 1:28100 CHALLENGER BLVD UNIT 112
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33982-2403
Practice Address - Country:US
Practice Address - Phone:718-789-1818
Practice Address - Fax:718-789-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10237261QR0208X
FLHCC12299335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254061400Medicaid
FLE1799AMedicare PIN
FLH67862Medicare UPIN
FL254061400Medicaid