Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Diagnostic Imaging Corp

Organization Radiology Clinic/Center · NPI 1669684734

Prime Diagnostic Imaging Corp is a Radiology Clinic/Center in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3075 Veterans Memorial Hwy Ste 160
Ronkonkoma, NY 11779-7667
Phone: (631) 648-8860
Fax: (631) 648-8859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X · Licence 171063 (NY)

Record details

NPI number1669684734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Moss — President · (631) 648-8860
NPI enumeratedMay 3, 2007
Last updated in NPPESDecember 12, 2008
Mailing address3075 Veterans Memorial Hwy, Suite 160, Ronkonkoma, NY 11779-7667

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