Main Street Radiology
Director
Ari I. Jonisch, M.D.
Expiration Date
Phone Number
(718) 428-1500
UID (Facility ID - Site ID)
F201-0000
Site ID
0000
City
Glendale
CLIA Number
33D2256204
Street Address
83-13 Cooper Ave
State
NY
Zip Code
11372
County
Queens
Country
United States
Primary Contact
Ann Marie Prendergast
Contact Phone Number
(718) 428-1500
Certificate Type
WAIVER
Tests
Blood Urea Nitrogen (BUN)
Creatinine
Glucose
Facility ID
F201