Organization Active NPI

Medical Diagnostic Service Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Wilson, NC
National Provider Identifier
1669419784
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
MEDICAL DIAGNOSTIC SERVICE INC
Practice address
705 N. Ward Blvd.
Suite a
Wilson, NC 27894
Phone
(252) 237-0848
Fax
(252) 237-0848
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Mark Hooper, DC
Title
Owner
Phone
(252) 237-0848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X Primary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X

Addresses

Primary practice location

705 N. Ward Blvd.
Suite a
Wilson, NC 27894

Mailing address

P.O. Box 63
Wilson, NC 27894
Phone (252) 237-0848

National Provider Directory

National Provider Directory

Locations

705 Ward Blvd
Ste A
Wilson, NC 27893
Phone (252) 237-0848

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1669419784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 63",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27894",
            "telephone_number": "252-237-0848",
            "fax_number": "252-237-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N. WARD BLVD.",
            "address_2": "SUITE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27894",
            "telephone_number": "252-237-0848",
            "fax_number": "252-237-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-237-0848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.