MOBILE DIAGNOSTIC SERVICES INC. NPI 1073654141

NPI Information

NPI: 1073654141
Provider Name: MOBILE DIAGNOSTIC SERVICES, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
25 S OLD BALTIMORE PIKE
STE 104
NEWARK, DE
ZIP 19702
Phone: (302) 292-2700
Get Directions

MOBILE DIAGNOSTIC SERVICES, INC. is a diagnostic radiology radiology in Newark, DE. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MOBILE DIAGNOSTIC SERVICES, INC. NPI is 1073654141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 S OLD BALTIMORE PIKE
STE 104
NEWARK, DE
ZIP 19702-540
Phone: (302) 292-2700
Fax: (302) 292-2702

The provider's authorized official is John J Gray .
The authorized official title is Ceo/president and has the following contact phone number (302) 239-7700.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 9/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	1990032819	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	MEDICAID	DELAWARE
2	021642	OTHER	PENNSYLVANIA	HIGHMARK MEDICARE
3	X000596201	MEDICAID	ARIZONA
4	0005018072	OTHER	TEXAS	AETNA
5	574438109	OTHER	TEXAS	UNITED AMERICAN INSURANCE
6	1000010001=========	OTHER	PENNSYLVANIA	UNITED HEALTHCARE INSUR
7	=========45	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND	TRAILBLAZER HEALTH
8	405833000	MEDICAID	MARYLAND
9	=========190040000	OTHER	WISCONSIN	WPS TRICARE FOR LIFE
10	=========50	MEDICARE ID-TYPE UNSPECIFIED	DELAWARE	PALMETTO GBA NH
11	000330426	OTHER	PENNSYLVANIA	HIGHMARK INC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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