OrganizationActive
Executive Diagnosis Service
NPI 1841501244 · Radiologic Technologist · Passaic, NJ
Provider details
- NPI number
- 1841501244
- Entity type
- Organization
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Ana Delacruz, Owner(551) 587-1150
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
39 Aycrigg Avenue
Passaic, NJ 07055
Phone: (551) 587-1150
Fax: (973) 777-1636
Approximate (ZIP-level) locationGet directions
Mailing address
39 Aycrigg Avenue
Passaic, NJ 07055
Registry dates
- Enumerated
- 2010-06-30
- Last updated
- 2010-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.