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

Marlo Suazo

Individual provider Mobile Radiology Clinic/Center · NPI 1821412065

Marlo Suazo is a Mobile Radiology Clinic/Center in Lake Grove, New York. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

11 Bayard St
Lake Grove, NY 11755-3147
Phone: (631) 912-7476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mobile Radiology Clinic/Center (primary) Taxonomy 261QR0208X

Record details

NPI number1821412065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 7, 2014
Last updated in NPPESFebruary 7, 2014
Mailing address11 Bayard St, Lake Grove, NY 11755-3147