Organization Active NPI

Mobile Diagnostic Services, Inc.

  • Diagnostic Radiology Physician
  • Newark, DE
National Provider Identifier
1073654141
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1990032819 Issued in DE
Legal business name
MOBILE DIAGNOSTIC SERVICES, INC.
Practice address
25 S Old Baltimore Pike
Ste 104
Newark, DE 19702-1540
Phone
(302) 292-2700
Fax
(302) 292-2702
NPI assigned
Feb 9, 2007
Last updated
Sep 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John J Gray III, RDMS
Title
Ceo/President
Phone
(302) 239-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 1990032819 DE Primary

Addresses

Primary practice location

25 S Old Baltimore Pike
Ste 104
Newark, DE 19702-1540

Mailing address

25 S Old Baltimore Pike
Ste 104
Newark, DE 19702-1540
Phone (302) 292-2700

National Provider Directory

National Provider Directory

Locations

9 Gwynns Mill Ct
Owings Mills, MD 21117
Phone (410) 363-4301

9 Union Ave
Bala Cynwyd, PA 19004
Phone (302) 239-7700

77 Manor Ave
#100
Downingtown, PA 19335
Phone (610) 269-9570

8019 Castor Ave
Philadelphia, PA 19152
Phone (215) 724-6767

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378080000000",
    "number": "1073654141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S OLD BALTIMORE PIKE",
            "address_2": "STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021540",
            "telephone_number": "302-292-2700",
            "fax_number": "302-292-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S OLD BALTIMORE PIKE",
            "address_2": "STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021540",
            "telephone_number": "302-292-2700",
            "fax_number": "302-292-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-09-02",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "302-239-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "1990032819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.