1. Home
  2. Directory
  3. New Jersey
  4. Passaic
  5. Radiologic Technologist
  6. NPI Profile

EXECUTIVE DIAGNOSIS SERVICE
NPI 1841501244
Radiologic Technologist in Passaic, NJ

Active since June 30, 2010
39 AYCRIGG AVENUE, PASSAIC, NJ 07055(551) 587-1150(973) 777-1636 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Executive Diagnosis Service NPPES

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

EXECUTIVE DIAGNOSIS SERVICE (NPI 1841501244) is a healthcare organization registered as a radiologic technologist in Passaic, New Jersey and active in the NPI registry since June 2010. The organization lists Ana Virginia Delacruz, Owner, as its authorized official.

NPPES Registry Identity

NPI1841501244
Entity TypeOrganization
Primary Taxonomy247100000X
Legal Business NameEXECUTIVE DIAGNOSIS SERVICE
Location Address39 AYCRIGG AVENUEPassaic, NJ 07055
Mailing Address39 Aycrigg AvenuePassaic, NJ 07055 · (551) 587-1150 · Fax (973) 777-1636
Phone(551) 587-1150
Fax(973) 777-1636
Organization SubpartNo
Authorized OfficialAna Virginia DelacruzOwner · (551) 587-1150
Enumeration DateJune 30, 2010
✔ NPI 1841501244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
39 AYCRIGG AVENUE, Passaic, NJ 07055
Open in Google Maps ↗

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

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 Executive Diagnosis Service's NPI number?

The NPI number for Executive Diagnosis Service is 1841501244. It was assigned to this organization in the NPPES registry on June 30, 2010.

Where is Executive Diagnosis Service located?

Executive Diagnosis Service is located at 39 Aycrigg Avenue, Passaic, NJ 07055. The listed phone number is (551) 587-1150.

What is Executive Diagnosis Service's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Executive Diagnosis Service was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.