Mobile Diagnostic Services, Inc., NPI 1073654141
Diagnostic Radiology Physician in Newark, DE, US

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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
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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

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 1990032819
License State DE
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

Mobile Diagnostic Services, Inc.
25 S Old Baltimore Pike
Ste 104

Newark, DE, US

Phone: 302-292-2700
Fax: 302-292-2702

Mailing Address

Mobile Diagnostic Services, Inc.
25 S Old Baltimore Pike
Ste 104
Newark, DE, US
ZIP 197021540
Phone: 302-292-2700
Fax: 302-292-2702

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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