Active NPI
Mobile Diagnostic Services, Inc.
- Diagnostic Radiology Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1990032819
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 DirectoryLocations
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.
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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.