INTEGRATED MEDICAL DIAGNOSTIC SERVICES, P.C.
NPI 1740527993
Internal Medicine - Cardiovascular Disease in Commack, NY

Active since January 08, 2013
2171 JERICHO TPKE, SUITE 100, COMMACK, NY 11725(877) 646-2228(877) 922-3329 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Medical Diagnostic Services, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED MEDICAL DIAGNOSTIC SERVICES, P.C. (NPI 1740527993) is a healthcare organization registered as a cardiovascular disease in Commack, New York and active in the NPI registry since January 2013. The organization lists Michelle Clancy, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1740527993
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINTEGRATED MEDICAL DIAGNOSTIC SERVICES, P.C.
Location Address2171 JERICHO TPKE, SUITE 100Commack, NY 11725-2937
Mailing AddressPo Box 13023Hauppauge, NY 11788-0535 · (877) 646-2228 · Fax (877) 922-3329
Fax(877) 922-3329
Organization SubpartNo
Authorized OfficialMichelle ClancyExecutive Administrator · (877) 646-2228
Enumeration DateJanuary 8, 2013
Last NPPES UpdateAugust 24, 2015
NPI 1740527993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 180648-1
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
2171 JERICHO TPKE, Commack, NY 11725

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
2171 JERICHO TPKE, SUITE 340
COMMACK, NY 11725
Internal Medicine (Cardiovascular Disease)
2171 JERICHO TPKE, SUITE 100
COMMACK, NY 11725
Nurse Practitioner (Family)
2171 JERICHO TPKE
COMMACK, NY 11725
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2171 JERICHO TPKE, SUITE 100
COMMACK, NY 11725
Social Worker
2171 JERICHO TPKE
COMMACK, NY 11725
Early Intervention Provider Agency
2171 JERICHO TPKE, SUITE #340
COMMACK, NY 11725
Internal Medicine
2171 JERICHO TPKE, SUITE 304
COMMACK, NY 11725
Speech-Language Pathologist
2171 JERICHO TPKE, SUITE 340
COMMACK, NY 11725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Medical Diagnostic Services, P.C.'s NPI number?

The NPI number for Integrated Medical Diagnostic Services, P.C. is 1740527993. It was assigned to this organization in the NPPES registry on January 8, 2013.

Where is Integrated Medical Diagnostic Services, P.C. located?

Integrated Medical Diagnostic Services, P.C. is located at 2171 Jericho Tpke Suite 100, Commack, NY 11725. The listed phone number is (877) 646-2228.

What is Integrated Medical Diagnostic Services, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Integrated Medical Diagnostic Services, P.C. was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.