Mobile Diagnostic Services, Inc., NPI 1073654141
Diagnostic Radiology Physician in Newark, DE, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1073654141 |
| NPI Entity Type | Organization |
| Provider Name | Mobile Diagnostic Services, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 25 S Old Baltimore Pike, Ste 104, Newark, DE, US |
| Provider Mailing Address | 25 S Old Baltimore Pike, Ste 104, Newark, DE, US, 197021540 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. RDMS John J Gray III |
| Official Position | CEO/PRESIDENT |
| Phone | 302-239-7700 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| License No. | 1990032819 |
| License State | DE |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 405833000 | MD | MEDICAID | 05 |
| 574438109 | TX | UNITED AMERICAN INSURANCE | 01 |
| 000330426 | PA | HIGHMARK INC | 01 |
| 0005018072 | TX | AETNA | 01 |
| 021642 | PA | HIGHMARK MEDICARE | 01 |
| X000596201 | AZ | MEDICAID | 05 |
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