Provider Demographics
NPI:1528465127
Name:H. M. DIAGNOSTICS
Entity type:Organization
Organization Name:H. M. DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:READING DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVITES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-993-8831
Mailing Address - Street 1:620 CRANBURY RD STE 206
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4000
Mailing Address - Country:US
Mailing Address - Phone:732-238-2600
Mailing Address - Fax:732-238-2601
Practice Address - Street 1:77 MILLTOWN RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08819-2387
Practice Address - Country:US
Practice Address - Phone:732-277-4112
Practice Address - Fax:888-326-8179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246X00000X
NJ246X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1785042OtherCERTIFICATE #