Provider Demographics
NPI:1215244215
Name:UNIQUE MOBILE DIAGNOSTIC SERVICES INC
Entity type:Organization
Organization Name:UNIQUE MOBILE DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-809-6497
Mailing Address - Street 1:354 CROWN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-3006
Mailing Address - Country:US
Mailing Address - Phone:718-809-6497
Mailing Address - Fax:
Practice Address - Street 1:281 BROOKLYN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213
Practice Address - Country:US
Practice Address - Phone:718-467-1676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-12
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6668070001Medicare NSC