Organization Active NPI

Diagnostic Medical Services Inc.

  • Sonography Radiologic Technologist
  • Newark, DE
National Provider Identifier
1689618951
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
1989025931 Issued in DE
Legal business name
DIAGNOSTIC MEDICAL SERVICES INC.
Practice address
25 S Old Baltimore Pike
Suite 104
Newark, DE 19702-1540
Phone
(302) 292-2700
Fax
(302) 292-2702
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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
President
Phone
(302) 292-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X 1989025931 DE Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
000197322OtherPAHIGHMARK BLUE SHIELD
0000563702MedicaidDE
0091836000OtherPAPERSONAL CHOICE BLUE SHIE

National Provider Directory

National Provider Directory

Locations

25 S Old Baltimore Pike
#10
Newark, DE 19702

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

400 S Cross St
Ste 1
Chestertown, MD 21620
Phone (410) 778-0088

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1689618951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S OLD BALTIMORE PIKE",
            "address_2": "SUITE 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": "SUITE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021540",
            "telephone_number": "302-292-2700",
            "fax_number": "302-292-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-292-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "DE",
            "license": "1989025931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000197322",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000563702",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE BLUE SHIE",
            "identifier": "0091836000",
            "state": "PA"
        }
    ],
    "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 Aug 20, 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.