Main Street Radiology at Bayside LLC
Director
							Ari I. Jonisch, M.D.
			Expiration Date
							Phone Number
							(718) 428-1500
			UID (Facility ID - Site ID)
							F214-0000
			Site ID
							0000
			City
							Flushing
			CLIA Number
							33D2256995
			Street Address
							136-25 37th Ave
			State
							NY
			Zip Code
							11354
			County
							Queens
			Country
							United States
			Fax Number
							(718) 661-1305
			Primary Contact
							Steven Kozak
			Contact Phone Number
							(718) 428-1500
			Certificate Type
							WAIVER
			Tests
				Blood Urea Nitrogen (BUN)
							Creatinine
							Glucose
					Facility ID
							F214