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MILFORD DIAGNOSTIC IMAGINE PA NPI 1689674533


NPI Information

NPI: 1689674533
Provider Name: MILFORD DIAGNOSTIC IMAGINE PA

Other Name: MILFORD DIAGNOSTIC IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
21 W CLARKE AVE
MILFORD, DE
ZIP 19963
Phone: (610) 459-3113
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MILFORD DIAGNOSTIC IMAGINE PA is a diagnostic radiology radiology in Milford, DE. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MILFORD DIAGNOSTIC IMAGINE PA NPI is 1689674533. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Milford Diagnostic Imaging.

The provider's business location address is:

21 W CLARKE AVE
MILFORD, DE
ZIP 19963-840
Phone: (610) 459-3113

The provider's authorized official is Jeffery Jackerson .
The authorized official title is Head Doctor and has the following contact phone number (610) 459-3113.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyDELAWAREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000603202MEDICAIDDELAWARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.