Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marlo Suazo

Individual provider Mobile Radiology Clinic/Center · NPI 1821412065

Marlo Suazo is a Mobile Radiology Clinic/Center in Lake Grove, New York. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

11 Bayard St
Lake Grove, NY 11755-3147 Not confirmed with CMS for 12 years — call before visiting
Phone: (631) 912-7476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mobile Radiology Clinic/Center (primary) Taxonomy 261QR0208X

Record details

NPI number1821412065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 7, 2014
Last updated in NPPESFebruary 7, 2014